MRS. JENNIFER REBECCA MAZZA (NPI# 1366968968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366968968 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER REBECCA MAZZA |
| Credential | ARNP, FNP-C |
| Practice Address |
2709 W Briggs Ave Ste 1 Fairfield IA 52556-2649 |
| Mailing Address |
1010 S 4th St Fairfield IA 52556-3917 |
| Practice Telephone | 3193561616 |
| Mailing Telephone | 6414511316 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A119156 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811435597 | Jennifer Mazza | Licensed Practical Nurse | 57 Stagecoach Dr, Middletown, NY 10940-7174 | 2017-02-02 |
| Street Address |
2709 W BRIGGS AVE STE 1 |
| City | FAIRFIELD |
| State | IA |
| Zip Code | 52556-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578540944 | Judith A. Book-davin | Nurse Practitioner | 2709 W Briggs Ave, Ste. 1, Fairfield, IA 52556-2649 | 2005-12-28 |
| 1578019766 | Russell England Md Pllc | Psychiatry & Neurology | 2709 W Briggs Ave, Ste. 4, Fairfield, IA 52556-2649 | 2016-08-29 |
| 1720456346 | Brooke Elizabeth Vicker | Nurse Practitioner | 2709 W Briggs Ave, Ste. 1, Fairfield, IA 52556-2649 | 2015-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175315 | Sarah Jo Chaney | Speech-Language Pathologist | 402 W Burlington Ave, Ste 200, Fairfield, IA 52556 | 2020-02-07 |
| 1588191290 | Kirk D. Condon | Counselor | 201 South 23rd, Fairfield, IA 52556 | 2017-05-12 |
| 1740644483 | Felicity Kelly | Acupuncturist | 206 E Burlington Ave #2, Fairfield, IA 52556 | 2016-04-08 |
| 1275964686 | Donna J Besick | Physical Therapy Assistant | 2000 S. Main St., Fairfield, IA 52556 | 2013-12-11 |
| 1568894731 | Mary Helen Gartin | Family Medicine | 2000c South Main, Fairfield, IA 52556 | 2013-07-30 |
| 1699016287 | Sarah Elizabeth Brooks | Acupuncturist | 1825 Okra Blvd, Fairfield, IA 52556 | 2013-03-07 |
| 1265755631 | Robert H. Schneider | Preventive Medicine | 2100 Mansion Drive, Suite 211 - Inmp, Maharishi Vedic City, IA 52556 | 2010-03-12 |
| 1033346127 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1401 S Main St Ste 101, Fairfield, IA 52556 | 2009-06-16 |
| 1144490178 | Southeastern Renal Dialysis L.c. | Clinic/Center | 2000 A S Main St, Fairfield, IA 52556 | 2008-03-05 |
| 1497933741 | Rochelle Marie Phelps | Social Worker | 301 W. Burlington, Fairfield, IA 52556 | 2008-02-07 |
| Find all providers in zip 52556 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724168 | Baljit Dhillon | Nurse Practitioner | 5140 Duren Cir, Fairfield, CA 94533-8978 | 2020-06-12 |
| 1164083168 | Michelle Setliff | Nurse Practitioner | 1261 Travis Blvd Ste 170, Fairfield, CA 94533-4825 | 2019-06-21 |
| 1528545845 | Gerarda Pires | Nurse Practitioner | 1305 Post Rd Ste 310, Fairfield, CT 06824-6016 | 2018-07-20 |
| 1063904407 | Peter Nicholas Brehmer | Nurse Practitioner | 239 Greenfield St, Fairfield, CT 06825-4401 | 2018-06-01 |
| 1447765698 | Mae Jennifer Le | Nurse Practitioner | 1261 Travis Blvd Ste 150, Fairfield, CA 94533-4800 | 2017-12-11 |
| 1093168825 | Elizabeth Sarah Carson | Nurse Practitioner | 4910 Fairfield Rd, Fairfield, PA 17320-9510 | 2016-07-17 |
| 1083061550 | Tammera Phipps | Nurse Practitioner | 1168 N Frieda Dr, Fairfield, OH 45014-3316 | 2016-05-15 |
| 1700250883 | Aneet K Grewal | Nurse Practitioner | 4422 Meadow Valley Cir, Fairfield, CA 94534-6671 | 2015-11-30 |
| 1104200716 | Latonia Yvette Cushingberry | Nurse Practitioner | 154 Twin Lakes Dr, Fairfield, OH 45014-5257 | 2015-07-13 |
| 1831518398 | Prompt Care Healthcare Solutions On The Go, Plc | Nurse Practitioner | 2709 W Briggs Ave Apt 1, Fairfield, IA 52556-2649 | 2014-04-14 |
| Find all providers in FAIRFIELD | ||||
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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.