JESSICA L CLIFFORD (NPI# 1326553066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326553066 |
| Entity Type | Individual |
| Full Name | JESSICA L CLIFFORD |
| Practice Address |
885 W Connexion Way Columbia City IN 46725-1044 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2602489260 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2018-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28168769A | IN | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 71007730A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225441637 | Jessica Clifford | Nurse Anesthetist, Certified Registered | 690 Canton Street, Suite 325, Westwood, MA 02090-2329 | 2014-06-04 |
| 1366614018 | Jessica L Clifford | Pediatrics | 435 25th St Nw, Cleveland, TN 37311-3838 | 2008-04-01 |
| Street Address |
885 W CONNEXION WAY |
| City | COLUMBIA CITY |
| State | IN |
| Zip Code | 46725-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043288822 | Rhonda A Sparks | Family Medicine | 885 W Connexion Way, Columbia City, IN 46725-1044 | 2006-03-09 |
| 1013084847 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 885 W Connexion Way, Suite 200, Columbia City, IN 46725-1044 | 2006-11-29 |
| 1740355155 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 885 W Connexion Way, Suite 300, Columbia City, IN 46725-1045 | 2006-11-21 |
| 1912915612 | Nancy Louise Poulson | Registered Nurse | 885 W Connexion Way, Ste 100, Columbia City, IN 46725-1044 | 2006-08-04 |
| 1265492706 | Orthopaedics Northeast, PC | Orthopaedic Surgery | 885 W Connexion Way, Suite 100, Columbia City, IN 46725-1036 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659858652 | Brittany R Ianucilli | Behavior Technician | 1200 W Depoy Dr, Columbia City, IN 46725 | 2018-07-23 |
| 1467908012 | Andrew Ott, LLC | Community/Behavioral Health | 402 N. Washington St., Columbia City, IN 46725 | 2016-09-01 |
| 1972983641 | Chelsey Caldwell | Pediatrics | 1270 E State Road 205 Ste 230, Columbia City, IN 46725 | 2015-06-08 |
| 1861805541 | Piotr Swiatkowski | Physical Therapist | 1260 East State Road 205, Columbia City, IN 46725 | 2014-06-10 |
| 1952644080 | Yvonka L Lower | Respite Care | 2714e700s, Columbiacity, IN 46725 | 2013-03-27 |
| 1508125873 | Mary Margaret Cyrus | Massage Therapist | 3880 E Cider Mill Rd, Columbia City, IN 46725 | 2012-05-08 |
| 1831473834 | Abigail R West | Occupational Therapy Assistant | 612 N Washington St, Columbia City, IN 46725 | 2011-10-10 |
| 1033367123 | Amy K Sadler | Family Medicine | 1270 E S.r. 205, Suite 240, Columbia City, IN 46725 | 2008-09-03 |
| 1366590937 | Rebecca Leigh Corpuz | Physician Assistant | 885 Connexion Way, Suite 200, Columbia City, IN 46725 | 2007-01-08 |
| 1902919582 | Bart Andrew Benzinger | Optometrist | 402 W. Plaza Dr, Wal-mart Vision Center, Columbia City, IN 46725 | 2006-08-16 |
| Find all providers in zip 46725 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467959692 | Sasha L. Shumpert | Nurse Practitioner | 1270 E State Road 205 Ste 150, Columbia City, IN 46725-8505 | 2018-04-13 |
| 1215410782 | Sarah Mossburg | Nurse Practitioner | 885 W Connexion Way Ste 200, Columbia City, IN 46725-1045 | 2018-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769948 | Amy Renee Bradley | Nurse Practitioner | 10404 Cerulean Dr, Noblesville, IN 46060-7676 | 2020-10-27 |
| 1083213607 | Medihealth Primary Care LLC | Nurse Practitioner | 2345 W Franklin St Ste 102, Evansville, IN 47712-5100 | 2020-10-23 |
| 1891394599 | Laury Farrell | Nurse Practitioner | 6017 Stoney Creek Dr, Fort Wayne, IN 46825-4410 | 2020-10-22 |
| 1255930657 | Caitlyn Shuck | Nurse Practitioner | 2641 Marsh Hawk Dr, Greenwood, IN 46143-5749 | 2020-10-19 |
| 1730787599 | Crystal Neal | Nurse Practitioner | 4430 Keeneland Ln Unit 202, Fort Wayne, IN 46845-1985 | 2020-10-14 |
| 1285240390 | Amy D Perry | Nurse Practitioner | 728 N Cross Pointe Blvd # 102, Evansville, IN 47715-9163 | 2020-09-23 |
| 1013523588 | Amy Deion Stitt | Nurse Practitioner | 738 E 200 N, Warsaw, IN 46582-4658 | 2020-09-21 |
| 1881200152 | Positive Energy Health Center LLC | Nurse Practitioner | 5023 E 56th St Ste 130, Indianapolis, IN 46226-1471 | 2020-09-21 |
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1821615485 | Denise Michelle Alexander | Nurse Practitioner | 815 West 2nd Street, Bloomington, IN 47403-2212 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | COLUMBIA CITY |
| Zip Code | 46725 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.