JESSICA ANN ORTEGA WILSON (NPI# 1558701243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558701243 |
| Entity Type | Individual |
| Full Name | JESSICA ANN ORTEGA WILSON |
| Other Name | JESSICA ANN ORTEGA |
| Credential | DPM |
| Practice Address |
1515 Airport Blvd Melbourne FL 32901 |
| Mailing Address |
1515 Airport Blvd Melbourne FL 32901-2946 |
| Practice Telephone | 3217233500 |
| Practice Fax Number | 3217231945 |
| Mailing Telephone | 3217233500 |
| Mailing Fax Number | 3217231945 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO3766 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3766 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006487 | PA | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 211 E New Haven Ave, Melbourne, FL 329014503 | 3217233500 | 3217231945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068411 | Jessica Lauren Wilson | Nutritionist | 1925 Brady Ave, Arbutus, MD 21227-4109 | 2020-09-16 |
| 1235754086 | Jessica Vienna Wilson | Massage Therapist | 13 Radnor Ave Fl 2, Croton On Hudson, NY 10520-2621 | 2020-06-08 |
| 1831749654 | Jessica Keely Wilson | Licensed Vocational Nurse | 3356 County Road 313, Dublin, TX 76446-6631 | 2019-09-13 |
| 1629622162 | Jessica Patreece Wilson | Nurse Practitioner | 7303 Brittney Lane, Kenly, NC 27542 | 2019-08-01 |
| 1346808623 | Jessica Wilson | Behavior Technician | 415 N Richard Jackson Blvd Ste 209, Panama City Beach, FL 32407-3694 | 2019-06-03 |
| 1336640820 | Jessica Wilson | Registered Nurse | 25 Connecticut Ave, Midlothian, TX 76065-6747 | 2018-02-21 |
| 1427566934 | Jessica N Wilson | Behavior Technician | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2018-01-18 |
| 1912447616 | Jessica Wilson | Nurse Practitioner | 740 S Limestone J401, Lexington, KY 40536-0001 | 2017-02-28 |
| 1215387253 | Jessica Evelynne Wilson | Speech-Language Pathologist | 210 Spring Creek Ave Apt A, Bowling Green, KY 42101-5478 | 2016-06-21 |
| 1295101061 | Jessica Elaine Wilson | Marriage & Family Therapist | 983 Norumbega Dr, Monrovia, CA 91016-1826 | 2015-08-17 |
| Street Address |
1515 AIRPORT BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992795 | Phillip W Devoe | Allergy & Immunology | 1515 Airport Blvd, Melbourne, FL 32901-2946 | 2005-06-16 |
| 1184064834 | Thomas Charles Wilson | Podiatrist | 1515 Airport Blvd, Melbourne, FL 32901 | 2013-06-26 |
| 1457589244 | Jared Briant Moyles | Podiatrist | 1515 Airport Blvd, Melbourne, FL 32901 | 2009-06-30 |
| 1003033465 | Phillip W Devoe Md Pa | Allergy & Immunology | 1515 Airport Blvd, Melbourne, FL 32901-2946 | 2007-04-19 |
| 1972587350 | Richard C Wilson | Podiatrist | 1515 Airport Blvd, Melbourne, FL 32901 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114465515 | Foot and Ankle Associates of Brevard LLC | Podiatrist | 4020 Fair Point Ln, Melbourne, FL 32934-8436 | 2017-02-06 |
| 1609201227 | Patricia A Russo | Podiatrist | 2958 Ingram Ave, Melbourne, IA 50162-9559 | 2013-09-13 |
| 1710096862 | Daniel Albert Cohen | Podiatrist | 7730 N Wickham Rd, Suite 103, Melbourne, FL 32940 | 2006-08-30 |
| 1619986429 | Brian Stanley Wieszbicki | Podiatrist | 1375 Cypress Trace Dr, Melbourne, FL 32940-1623 | 2006-08-08 |
| 1437181666 | Stanley Ira Gabe | Podiatrist | 129 W Hibiscus Ave, Suite C, Melbourne, FL 32901 | 2006-07-07 |
| 1669455291 | Brian Joseph Mallette | Podiatrist | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1384 | 2005-11-29 |
| 1174506877 | Briant G Moyles Dpm Pa | Podiatrist | 211 E New Haven Ave, Melbourne, FL 32901-4503 | 2005-11-28 |
| 1306273545 | Iowa Podiatry Care, Inc. | Podiatrist | 2958 Ingram Ave, Melbourne, IA 50162-9559 | 2013-10-02 |
| 1184064834 | Thomas Charles Wilson | Podiatrist | 1515 Airport Blvd, Melbourne, FL 32901 | 2013-06-26 |
| 1457589244 | Jared Briant Moyles | Podiatrist | 1515 Airport Blvd, Melbourne, FL 32901 | 2009-06-30 |
| Find all providers in MELBOURNE | ||||
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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.