JESSICA WHITEHOUSE (NPI# 1376856070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376856070 |
| Entity Type | Individual |
| Full Name | JESSICA WHITEHOUSE |
| Other Name | JESSICA MITCHELL |
| Credential | PA-C |
| Practice Address |
830 Harrison Avenue Suite 1400 Boston MA 02118 |
| Mailing Address |
720 Harrison Ave Dob 503 Boston MA 02118-2371 |
| Practice Telephone | 6176388124 |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2017-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA3989 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
830 HARRISON AVENUE SUITE 1400 |
| City | BOSTON |
| State | MA |
| Zip Code | 02118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316929342 | Jennifer F Tseng | Surgery | 830 Harrison Avenue, Moakley, Suite 3400, Boston, MA 02118 | 2005-11-16 |
| 1629569702 | Kelsey Jean Burke | Physician Assistant | 830 Harrison Avenue, Moakley, Suite 3400, Boston, MA 02118 | 2018-05-23 |
| 1881131019 | Nora Carr | Nurse Practitioner | 830 Harrison Avenue, Moakley, Suite 1200, Boston, MA 02118 | 2017-01-25 |
| 1336697382 | Samuel Robert Lajoie | Physician Assistant | 830 Harrison Avenue, Moakley, Suite 3500, Boston, MA 02118 | 2016-09-20 |
| 1790148864 | Charlene Julien | Nurse Practitioner | 830 Harrison Avenue, Moakley, 2nd Floor, Boston, MA 02118-2335 | 2016-04-05 |
| 1740640739 | Nicholas Peter Simms | Physician Assistant | 830 Harrison Avenue, Suite 1400, Boston, MA 02118-2784 | 2016-03-03 |
| 1699150938 | Brandy Nichole Kenner Keefe | Nurse Practitioner | 830 Harrison Avenue, Suite 1400, Boston, MA 02118 | 2015-07-28 |
| 1508278169 | Hossein Sadrzadeh | Internal Medicine | 830 Harrison Avenue, Moakley, 3rd Floor, Boston, MA 02118 | 2014-05-29 |
| 1952729717 | Eric I Marks | Internal Medicine | 830 Harrison Avenue, Moakley, 3rd Floor, Boston, MA 02118 | 2014-03-30 |
| 1780018077 | Kimberly Ann Nehiley | Nurse Practitioner | 830 Harrison Avenue, Moakley, 3rd Floor, Boston, MA 02118 | 2013-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
| 1255853917 | Jessica Amy Casper | Physician Assistant | 110 Francis St., Lmob Suite 3b, Beth Israel Deaconess Medical Center, Neurosurgery Dept, Boston, MA 02215 | 2017-07-13 |
| 1760884688 | Brian Patrick Abbott | Physician Assistant | 17 Tileston St, Apt 4, Boston, MA 02113-1950 | 2014-09-23 |
| 1043489560 | Pamela Veronica Maingon | Physician Assistant | 20 Lime St Apt 2, Boston, MA 02108-1117 | 2008-02-28 |
| 1962558585 | Lori Heather Sinclair | Physician Assistant | Mass General Hospital 55 Fruit Street, Cox 630, Boston, MA 02114 | 2007-01-26 |
| 1013531789 | Jillian Hamlin | Physician Assistant | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2020-05-29 |
| 1578102455 | Madison Altwies | Physician Assistant | 75 Francis St, Boston, MA 02115-6106 | 2019-12-25 |
| 1205482551 | Kendra King | Physician Assistant | 75 Francis St, Boston, MA 02115-6106 | 2019-08-13 |
| 1124598396 | Rebecca Jayne Moriarty | Physician Assistant | 75 Francis St, Boston, MA 02115-6110 | 2018-11-30 |
| 1689151516 | Thomas Doucette | Physician Assistant | 75 Francis St, Boston, MA 02115-6110 | 2018-07-24 |
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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.