JESSICA DAWN ANDERSON (NPI# 1528683133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528683133 |
| Entity Type | Individual |
| Full Name | JESSICA DAWN ANDERSON |
| Credential | CPNP-PC |
| Practice Address |
1 Medical Park Blvd Bristol TN 37620-7430 |
| Mailing Address |
160 Good Rd Fall Branch TN 37656-2208 |
| Practice Telephone | 4238441121 |
| Mailing Telephone | 4234834640 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
194136 | TN | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
194136 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 N State of Franklin Rd, Johnson City, TN 376046035 | 4234315339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245837 | Jessica N Anderson | Adult Companion | 1640 Arville St, Las Vegas, NV 89102-3840 | 2020-08-16 |
| 1699239236 | Jessica Anderson | Occupational Therapist | 20 County Barn Rd, Booneville, KY 41314-6500 | 2019-01-28 |
| 1275034423 | Jessica Dharma Anderson | Social Worker | 11 Woods Pond Drive, Westford, MA 01886 | 2018-02-23 |
| 1396275376 | Jessica Anna Anderson | Licensed Vocational Nurse | 539 Mitchell Ave, Turlock, CA 95380-4043 | 2017-06-13 |
| 1841739935 | Jessica Anderson | Speech-Language Pathologist | 6624 Beck Dr Ne, Albuquerque, NM 87109-3702 | 2017-02-22 |
| 1144769878 | Jessica Anderson | Nurse's Aide | 2803 Wooded Ln, Mchenry, IL 60051-7889 | 2017-02-14 |
| 1508302498 | Jessica Leah Anderson | Physical Therapy Assistant | 3620 Applewood Rd, North Chesterfield, VA 23234-4821 | 2017-01-16 |
| 1922557271 | Jessica Byers Anderson | Massage Therapist | 104 W Hilliard Ln, Eugene, OR 97404-3012 | 2016-09-28 |
| 1841668175 | Jessica Elise Anderson | Occupational Therapist | 731 S 16th St Apt 2f, Philadelphia, PA 19146-2126 | 2015-09-03 |
| 1073892097 | Jessica Lauren Anderson | Speech-Language Pathologist | 413 W Bloomfield Ave, Royal Oak, MI 48073-2567 | 2011-08-08 |
| Street Address |
1 MEDICAL PARK BLVD |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-7430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768699 | Medical Mall Pharmacy Inc | Pharmacy | 1 Medical Park Blvd, Suite 106-e, Bristol, TN 37620-7430 | 2005-05-23 |
| 1225640980 | Amanda Marshall | Registered Nurse | 1 Medical Park Blvd, Bristol, TN 37620-7453 | 2020-08-23 |
| 1336764406 | Maggie Mullins | Registered Nurse | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2020-06-14 |
| 1578188249 | Angela Dawn Owens | Pharmacist | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2020-06-09 |
| 1659904837 | Sarah Elizabeth Smith | Nurse Anesthetist, Certified Registered | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2020-02-17 |
| 1063055762 | Chelsea Newsome | Nurse Practitioner | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2019-10-25 |
| 1750943718 | Sara Anne Mcglothlin | Occupational Therapy Assistant | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2019-06-30 |
| 1801355359 | Aaron Allen Kelley | Respiratory Therapist, Registered | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2019-03-14 |
| 1164922076 | Neha D Naik | Pharmacist | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2018-02-16 |
| 1386157378 | Matthew S Lowe | Registered Nurse | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2017-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902818966 | Donna Urbinati | Nurse Practitioner | 160 Wolcott St, Bristol, CT 06010-6422 | 2006-08-11 |
| 1619593928 | Megan Sydney Sosensky | Nurse Practitioner | 160 Wolcott St, Bristol, CT 06010-9701 | 2020-06-23 |
| 1144591595 | The Pediatric Care Center LLC | Nurse Practitioner | 780 Farmington Ave, Bristol, CT 06010-3920 | 2012-01-17 |
| 1679736870 | Mary Catherine Egan Mieczkowski | Nurse Practitioner | 1301 Farmington Ave, Bristol, CT 06010-4776 | 2008-07-08 |
| 1972604619 | Nancy S Shisler | Nurse Practitioner | 320 Steeles Rd, Bristol, TN 37620-9532 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416330 | Laura Jean Schmid | Nurse Practitioner | 2200 Childrens Way Ste 3103, Nashville, TN 37232-0034 | 2020-10-27 |
| 1801495338 | Heidi Bevans | Nurse Practitioner | 1440 Cedar Ln, Tullahoma, TN 37388-2485 | 2020-10-26 |
| 1629683453 | Monique Kyles | Nurse Practitioner | 148 Marrakesh Cir, Memphis, TN 38103-5830 | 2020-09-09 |
| 1164034013 | Donte Leonard | Nurse Practitioner | 952 Dolly Parton Pkwy, Sevierville, TN 37862-3707 | 2020-08-21 |
| 1114545050 | Regina Jill Brown | Nurse Practitioner | 1441 Guthrie Dr Nw, Cleveland, TN 37311-3642 | 2020-07-07 |
| 1295350361 | Amber Rose King | Nurse Practitioner | 439 N Graham St, Memphis, TN 38122-3831 | 2020-06-14 |
| 1346869302 | Ashley O'brien | Nurse Practitioner | 1044 Oak Drive, White Bluff, TN 37187-3718 | 2020-04-10 |
| 1487298634 | Madison Hatfield | Nurse Practitioner | 2200 Childrens Way Fl 8, Nashville, TN 37232-0005 | 2019-10-31 |
| 1184267270 | Mary Elizabeth Coletti | Nurse Practitioner | 1029 W Main St # 3301, Lebanon, TN 37087-3351 | 2019-10-22 |
| 1508408956 | Stephanie Nidiffer | Nurse Practitioner | 3328 Jenkins Rd Ste 200, Chattanooga, TN 37421-1298 | 2019-10-16 |
| Find all providers with the same taxonomy | ||||
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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.