JESSICA KATHLEEN NELSON (NPI# 1487219986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487219986 |
| Entity Type | Individual |
| Full Name | JESSICA KATHLEEN NELSON |
| Practice Address |
74923 Hovley Ln E Palm Desert CA 92260-1927 |
| Practice Telephone | 7603470754 |
| Practice Fax Number | 7607702240 |
| Mailing Telephone | 7603470754 |
| Mailing Fax Number | 7607702240 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648668 | Jessica J Nelson | Technician | 5821 Prairie View Rd, Towner, ND 58788-9575 | 2020-10-27 |
| 1386267110 | Jessica Elizabeth Nelson | Counselor | 1294 18th St E # 2, Hastings, MN 55033-3680 | 2020-05-27 |
| 1033608088 | Jessica Ann Nelson | Chiropractor | 1947 Kenwood Pl Se, Smyrna, GA 30082-5144 | 2018-05-05 |
| 1639457161 | Jessica Anne Baxter Nelson | Dental Hygienist | 815 Vista Ln, Ione, CA 95640-5424 | 2011-08-02 |
| 1639338833 | Jessica Ann Nelson | Marriage & Family Therapist | 120 Clarkson St, Bridgeport, CT 06605-3240 | 2008-06-03 |
| 1659547602 | Jessica Layne Nelson | Pharmacist | Navajo Route 7 and Navajo Route 12, Fort Defiance, AZ 86504 | 2008-04-30 |
| 1245362599 | Jessica Ann Nelson | Advanced Practice Midwife | 340 Nw 5th St Ste 101, Redmond, OR 97756-1869 | 2007-03-12 |
| 1730790833 | Jessica Nelson | Physical Therapist | 9410 State Highway 151 Ste 104, San Antonio, TX 78251-4784 | 2020-08-12 |
| 1407478480 | Jessica Ann Nelson | Counselor | 2863 State Route 45 N, Rock Creek, OH 44084-9352 | 2020-05-12 |
| 1720609985 | Jessica Lynn Nelson | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-04-29 |
| Street Address |
74923 HOVLEY LN E |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92260-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215150818 | Rodney Miker | Counselor | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2007-04-11 |
| 1588265714 | Jennifer Rojo-perez | Counselor | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2020-11-04 |
| 1437767589 | Jeronimo Subayar | Licensed Vocational Nurse | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2020-07-15 |
| 1710511746 | Jessica Rojo-perez | Case Manager/Care Coordinator | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2020-02-28 |
| 1063065589 | Michelle Lee Acevedo | Counselor | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2019-07-23 |
| 1710541644 | Jaclyn Marie Mccready | Counselor | 74923 Hovley Ln E, Palm Desert, CA 92260 | 2019-04-25 |
| 1366907305 | James Stephen Brinkman | Counselor | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2019-02-04 |
| 1497272330 | Monique Shydell Paniagua | Marriage & Family Therapist | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2017-08-22 |
| 1710340054 | Angela Martina Munoz | Counselor | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2016-04-04 |
| 1134581002 | Edgar Francisco Rivera | Counselor | 74923 Hovley Ln E, Palm Desert, CA 92260-1927 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414202 | Arianna D Aguilar | Behavioral Analyst | 7410 Highway 111 Suite 102, Palm Desert, CA 92260 | 2020-10-12 |
| 1063053098 | Sylvia Ann Trapuzzano | Marriage & Family Therapist | 74-040 Highway IIi, Suite L-202, Palm Desert, CA 92260 | 2019-10-01 |
| 1477011153 | Alexis Ivonne Corrales | Behavior Technician | 74-710 Ca-111, Ste #102, Palm Desert, CA 92260 | 2019-03-12 |
| 1992272421 | Sarah Baik | Pharmacist | 72314 Ca-111, Palm Desert, CA 92260 | 2018-11-02 |
| 1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1225540180 | Dr Fatemeh Hadjian D.d.s. P.a. | Dentist | 74000 Country Club Ste B1, Palm Desert, CA 92260 | 2017-11-01 |
| 1871032185 | Brianne Lee Stoddard | Behavioral Analyst | 41555 Cook Street, Suite 100, Palm Desert, CA 92260 | 2017-02-20 |
| 1275072720 | Michael Giordano Jerez | Chiropractor | 72840 Ca - 111 Suite 2, Palm Desert, CA 92260 | 2017-02-16 |
| 1982150785 | Joshua W Cartter Dds Inc | Dentist | 72415 Park View, Palm Desert, CA 92260 | 2016-08-31 |
| Find all providers in zip 92260 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | PALM DESERT |
| Zip Code | 92260 |
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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.