JESSICA CHADWICK (NPI# 1548640725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548640725 |
| Entity Type | Individual |
| Full Name | JESSICA CHADWICK |
| Practice Address |
408 Eb Saunders Way Clarksburg WV 26301-3712 |
| Mailing Address |
1201 N 15th St Clarksburg WV 26301-1989 |
| Practice Telephone | 3046246554 |
| Practice Fax Number | 3046245223 |
| Mailing Telephone | 3046246554 |
| Mailing Fax Number | 3046245223 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
H4A137700344 | WV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124384003 | Jessica R Chadwick | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2012-04-05 |
| Street Address |
408 EB SAUNDERS WAY |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1497122261 | Krista Wilkins | Speech-Language Pathologist | 408 Eb Saunders Way, Clarksburg, WV 26301-3712 | 2015-08-28 |
| 1497004618 | Jessica Jean Schrock | Speech-Language Pathologist | 408 Eb Saunders Way, Clarksburg, WV 26301-3712 | 2012-09-04 |
| 1316256126 | Sara Elizabeth Garrett | Speech-Language Pathologist | 408 Eb Saunders Way, Clarksburg, WV 26301-3712 | 2010-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| 1083803498 | Stephen Boyd Broughton | Dentist | 117 1/2 Nicholas St, Clarksburg, WV 26301 | 2007-10-22 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154690758 | Kelly M. Vallango | Psychologist | 48 Eb Saunders Way, Clarksburg, WV 26302-1370 | 2011-12-28 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1942816483 | Emily Nestor | Psychologist | 445 W Main St, Clarksburg, WV 26301-2843 | 2020-09-21 |
| 1386070092 | Lee Ann Vecellio | Psychologist | 1201 N 15th St, Clarksburg, WV 26301-1989 | 2013-09-26 |
| 1417221482 | Susan Ann Miller | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2012-03-08 |
| 1316222011 | Andrew Joseph Woolwine | Psychologist | 1201 N 15th St, Clarksburg, WV 26301-1989 | 2011-10-14 |
| 1306017322 | Kristen K Majewski | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-03-18 |
| 1477724714 | Jill C Deicas | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-03-14 |
| 1023287463 | Debra Sue Henderson | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-02-28 |
| 1578732012 | Debra Ann Davis | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-02-28 |
| Find all providers in CLARKSBURG | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
Please comment or provide details below to improve the information on JESSICA CHADWICK.
| 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.