JESSICA CHRISTIANE CLOUGH (NPI# 1427513530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427513530 |
| Entity Type | Individual |
| Full Name | JESSICA CHRISTIANE CLOUGH |
| Credential | PA-C |
| Practice Address |
19 Bradhurst Ave Ste 3040n Hawthorne NY 10532-2180 |
| Mailing Address |
47 Trolley Rd Cortlandt Manor NY 10567-1367 |
| Practice Telephone | 9148370872 |
| Mailing Telephone | 9148370872 |
| Enumeration Date | 2019-02-02 |
| Last Update Date | 2019-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 023181 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578709788 | Jessica Lynne Clough | Nurse Anesthetist, Certified Registered | 789 Central Ave., Dover, NH 03820-2526 | 2008-12-18 |
| 1376155770 | Jessica Lynn Clough | Occupational Therapist | 475 Northern Blvd Ste 19, Great Neck, NY 11021-4802 | 2020-08-18 |
| 1710395637 | Jessica Clough | Counselor | 8 Atwood Dr, Northampton, MA 01060-4272 | 2014-07-23 |
| Street Address |
19 BRADHURST AVE STE 3040N |
| City | HAWTHORNE |
| State | NY |
| Zip Code | 10532-2180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772947 | Xin Quan | Physical Medicine & Rehabilitation | 19 Bradhurst Ave Ste 3040n, Hawthorne, NY 10532 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447792924 | Avril Dunbar | Registered Nurse | 228-500 Linda Ave, Hawthorne, NY 10532 | 2016-11-15 |
| 1134572704 | Ronald Tomlinson Jr. | Licensed Practical Nurse | 228- 500 Linda Avenue, Hawthorne, NY 10532 | 2016-07-19 |
| 1831566843 | Noble A Thomas | Chiropractor | 153 Broadway Ste 1, Hawthorne, NY 10532 | 2015-08-25 |
| 1790169068 | Sheila Astorino | Case Manager/Care Coordinator | 281 Pythian Avenue, Hawthorne, NY 10532 | 2015-07-16 |
| 1962801381 | Edison Pena | Student in an Organized Health Care Education/Training Program | 2226 Linda Avenue, Hawthorne, NY 10532 | 2014-08-21 |
| 1093029720 | Kathleen B Shaps | Registered Nurse | 226 Linda Avenue, Hawthorne, NY 10532 | 2010-08-05 |
| 1457580839 | Tracey Leah Shannon | Nurse Practitioner | 19 Bradhurst Ave Ste 3850s, Hawthorne, NY 10532 | 2009-07-07 |
| 1033364930 | Aldo Joseph Porco Md | Psychiatry & Neurology | 500 Linda Ave., Hawthorne, NY 10532 | 2008-11-20 |
| 1164675443 | Joanne Mary Bortone | Occupational Therapist | 1 Skyline Drive Suite 298, Kidabilities, Hawthorne, NY 10532 | 2008-10-30 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| Find all providers in zip 10532 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045922 | Yasmin Ayoka Alaran | Physician Assistant | 2596 Denali Ct, Hawthorne, CA 90250-1658 | 2019-10-22 |
| 1174091045 | Sara Pomerantz | Physician Assistant | 19 Bradhurst Ave Ste 2850s, Hawthorne, NY 10532-2140 | 2018-11-08 |
| 1003301995 | Alyssa Rene Henry | Physician Assistant | 208 Lake Ray Rd, Hawthorne, FL 32640-5706 | 2018-06-25 |
| 1023138708 | Brian Christopher Creghan I | Physician Assistant | 6435 Se Hwy 301, Hawthorne, FL 32640 | 2007-03-29 |
| 1962401554 | Brian Scott Brooks | Physician Assistant | 22066 Se 71st Ave, Hawthorne, FL 32640-3969 | 2005-07-18 |
| 1073141180 | Kerwin Ebilane | Physician Assistant | 13429 Hawthorne Blvd, Hawthorne, CA 90250-5803 | 2020-04-01 |
| 1033743216 | Lorena Analisa Madera | Physician Assistant | 19 Bradhurst Ave Ste 2750s, Hawthorne, NY 10532-2140 | 2020-02-27 |
| 1699318014 | Danyl Leonidovich Fakhrutdinov | Physician Assistant | 2301 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2019-10-18 |
| 1336792589 | Taylor Soares | Physician Assistant | 21815 Se 71st Ave, Hawthorne, FL 32640-3974 | 2019-07-17 |
| 1891252680 | Russell David Fike | Physician Assistant | 4477 W 118th St Ste 409, Hawthorne, CA 90250-2259 | 2019-02-27 |
| Find all providers in HAWTHORNE | ||||
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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.