MS. JESSICA LOUISE SELVAGGIO (NPI# 1518527654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518527654 |
| Entity Type | Individual |
| Full Name | MS. JESSICA LOUISE SELVAGGIO |
| Credential | DNP, FNP-C |
| Practice Address |
2800 Blue Ridge Rd Ste 300 Raleigh NC 27607-6476 |
| Mailing Address |
700 Bishops Park Dr Unit 206 Raleigh NC 27605-1250 |
| Practice Telephone | 9197847874 |
| Mailing Telephone | 2174160406 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 252052 | NC | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5012107 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2800 BLUE RIDGE RD STE 300 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896691 | Joel Bruce Dragelin | Surgery | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2005-07-22 |
| 1548707698 | Sallie Elliott Corse | Physician Assistant | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2017-01-27 |
| 1962946392 | Laurin Alexis Cahill | Physician Assistant | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2016-12-04 |
| 1497151831 | Stephanie Gurganus Niedzwiecki | Nurse Practitioner | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2014-11-12 |
| 1952540247 | Reza Rahbar-semnani | Surgery | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2009-02-11 |
| 1487818597 | Tatiana Kovtoun | Surgery | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2008-07-17 |
| 1144481409 | Laura Kathleen Altom | Surgery | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2008-06-19 |
| 1578747952 | Lindsey Sean Sharp | Surgery | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2007-12-21 |
| 1407065477 | Paul Beomsoo Park | Surgery | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607 | 2007-05-22 |
| 1386707545 | Tricia A Burns | Physician Assistant | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
| 1710598644 | Nicole Dora Licato | Nurse Practitioner | 7200 Creedmoor Rd Ste 208, Raleigh, NC 27613-1711 | 2020-08-13 |
| 1316561178 | Mintoria Lynette Stockton | Nurse Practitioner | 8332 Mcguire Dr, Raleigh, NC 27616-5682 | 2020-06-07 |
| 1700407103 | Sadonna Marlene Sawyer | Nurse Practitioner | 3311 Grove Crabtree Cres Apt 122, Raleigh, NC 27613-3063 | 2020-04-27 |
| 1447879903 | Christapher Frank | Nurse Practitioner | 2034 Wesvill Court, Suite 320, Raleigh, NC 28326 | 2020-04-14 |
| 1265065015 | Shubham Tyagi | Nurse Practitioner | Duke Urgent Care Brier Creek, 10211 Alm Street Suite 1200, Raleigh, NC 27617-2761 | 2020-02-20 |
| 1073163812 | Taylor Brooke Lawrence | Nurse Practitioner | 10208 Cerny St Ste 301, Raleigh, NC 27617-1000 | 2019-09-13 |
| 1811456320 | Elizabeth Campbell Mcgrath | Nurse Practitioner | 2615 Lake Dr Ste 201, Raleigh, NC 27607-6694 | 2019-03-14 |
| 1922578541 | Dorothy Nwizu | Nurse Practitioner | 608 Kavkaz St, Raleigh, NC 27610-3176 | 2018-11-26 |
| 1265900013 | Patricia-marie Edge Odom | Nurse Practitioner | 3000 New Bern Ave Ste G100, Raleigh, NC 27610-1231 | 2018-11-09 |
| Find all providers in RALEIGH | ||||
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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.