NICHOLAS EDWARD JESSUP (NPI# 1346853280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346853280 |
| Entity Type | Individual |
| Full Name | NICHOLAS EDWARD JESSUP |
| Practice Address |
3403b Garden Villa Ln Austin TX 78704-6915 |
| Mailing Address |
7108 S Kanner Hwy Stuart FL 34997-7462 |
| Practice Telephone | 8558326727 |
| Practice Fax Number | 7726759100 |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2020-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3403B GARDEN VILLA LN |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-6915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265698773 | Kelle Nicole Barron | Behavioral Analyst | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2008-08-04 |
| 1225645047 | Carly Grace Sponseller | Technician, Other | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-09-25 |
| 1083228704 | Dale Patrick Baker | Technician, Other | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-09-01 |
| 1710590526 | Rebecca Broussard | Technician, Other | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-08-31 |
| 1740893668 | Melynda Raena Ambriz | Technician, Other | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-08-29 |
| 1326658048 | Erica Lee Maddox | Behavior Technician | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-08-06 |
| 1437772654 | Ashley Revels | Behavioral Analyst | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-05-21 |
| 1639790793 | Laurin Ettel | Behavioral Analyst | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-04-29 |
| 1821629676 | Camila Isabel Gomez | Behavior Technician | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-01-30 |
| 1427696541 | Yuanchen Kuo | Behavior Technician | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2019-12-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517762 | Clayton Ernest Robertson | Technician, Other | 5555 N Lamar Blvd Ste D113, Austin, TX 78751-1075 | 2019-09-18 |
| 1336622026 | Amber Johnson | Technician, Other | 2499 S Capital of Texas Hwy Bldg B, Austin, TX 78746-7762 | 2018-09-10 |
| 1689157547 | Joshua Burton | Technician, Other | 3201 Industrial Ter, Austin, TX 78758-7525 | 2018-09-07 |
| 1225510894 | Misty Gilbert | Technician, Other | 5307 Airport Blvd Ste C, Austin, TX 78751-2258 | 2018-08-30 |
| 1073054417 | Lousted Austin | Technician, Other | 3404 Monte Vista Dr, Austin, TX 78731-5723 | 2017-03-18 |
| 1568916732 | Wahaj Mandavia | Technician, Other | 3607 Greystone Dr Apt 1512, Austin, TX 78731-2231 | 2016-08-05 |
| 1669823241 | Katelyn Wilczynski | Technician, Other | 4603 Greystone Dr, Austin, TX 78731-1164 | 2016-06-25 |
| 1356790125 | Barbara Carlson | Technician, Other | 11350 Four Points Dr # 134, Austin, TX 78726-2201 | 2016-06-12 |
| 1467801555 | Vontrice Dorsey | Technician, Other | 8054 Exchange Dr, 620, Austin, TX 78754-4736 | 2016-06-08 |
| 1932558384 | Oscar Garcia Jr. | Technician, Other | 8553 N Capital of Texas Hwy Apt 2108, Austin, TX 78759-8074 | 2016-06-07 |
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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.