JESSICA FIDLER (NPI# 1609414903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609414903 |
| Entity Type | Individual |
| Full Name | JESSICA FIDLER |
| Credential | RN |
| Practice Address |
200 Elizabeth St Charleston WV 25311-2197 |
| Practice Telephone | 3043487740 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
64292 | WV | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184115677 | Jessica A Fidler | Student in an Organized Health Care Education/Training Program | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237-6399 | 2018-05-21 |
| Street Address |
200 ELIZABETH ST |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25311-2197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811095953 | Claudette Mynes Pauley | Occupational Therapist | 200 Elizabeth St, Charleston, WV 25311-2119 | 2006-09-20 |
| 1528606811 | Marea Akers | Speech-Language Pathologist | 200 Elizabeth St, Charleston, WV 25311-2197 | 2019-12-17 |
| 1275171563 | Michelle Daniel | Registered Nurse | 200 Elizabeth St, Charleston, WV 25311-2197 | 2019-12-17 |
| 1275171571 | Holly Marie Smith | Registered Nurse | 200 Elizabeth St, Charleston, WV 25311-2197 | 2019-12-17 |
| 1194363499 | Tonya Cook | Registered Nurse | 200 Elizabeth St, Charleston, WV 25311-2197 | 2019-12-17 |
| 1164060463 | Kenna Scott | Registered Nurse | 200 Elizabeth St, Charleston, WV 25311-2197 | 2019-12-17 |
| 1962921312 | Tracy Zachwieja | Registered Nurse | 200 Elizabeth St, Charleston, WV 25311-2119 | 2017-09-18 |
| 1104359579 | Jessica Armstrong | Registered Nurse | 200 Elizabeth St, Charleston, WV 25311-2119 | 2017-04-04 |
| 1043758394 | Emily Moore | Registered Nurse | 200 Elizabeth St, Charleston, WV 25311-2119 | 2017-02-07 |
| 1255879904 | Jenna Sankoff | Speech-Language Pathologist | 200 Elizabeth St, Charleston, WV 25311-2119 | 2017-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225476 | Darlene Lacy-carter | Technician | 1406 Milton Street, Charleston, WV 25311 | 2020-11-04 |
| 1942810452 | Joshua Reese | Technician | 1248 Valley Grove Rd, Charleston, WV 25311 | 2020-08-10 |
| 1538710785 | Pamela White | Technician | 542 Harmony Hollow Road, Charleston, WV 25311 | 2019-09-27 |
| 1780104083 | The Stairlift People, Inc | Public Health or Welfare | 2510 Kanawha Blvd East, Charleston, WV 25311 | 2017-06-27 |
| 1902271505 | Mary Workman | Registered Nurse | 1520 Wahington Street East, Charleston, WV 25311 | 2015-12-08 |
| 1871966564 | Ashley Nicole Lester | Occupational Therapy Assistant | 1000 Association Dr., Charleston, WV 25311 | 2015-11-04 |
| 1548671530 | Holly Markins | Social Worker | 300 Tracy Way, Charleston, WV 25311 | 2014-05-13 |
| 1124453964 | West Virginia Health Right, Inc. | Clinic/Center | 1520 Washington St. E., Charleston, WV 25311 | 2013-09-12 |
| 1457678005 | Sarah Lyn Tussey | Occupational Therapy Assistant | 1 Supthin Dr, Charleston, WV 25311 | 2010-04-22 |
| 1639344708 | Daymark Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1592 Washington Street East, Suite 2, Charleston, WV 25311 | 2008-04-29 |
| Find all providers in zip 25311 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245664 | Maegan Simmons | Registered Nurse | 2130 Pinehurst Ave, Charleston, SC 29414-6455 | 2018-08-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1801229406 | Joanne Hendricks Root | Registered Nurse | 1825 Camp Rd, Charleston, SC 29412-3504 | 2013-08-19 |
| 1598102170 | Hope Gable Grimmett | Registered Nurse | 1872 S Grimball Rd, Charleston, SC 29412-8013 | 2013-05-23 |
| 1609212828 | Sharon Elaine Moser | Registered Nurse | 4060 Wildcat Blvd, Charleston, SC 29414-5851 | 2013-05-14 |
| 1831535111 | Rosanne W Pate | Registered Nurse | 1000 Fort Johnson Rd, Charleston, SC 29412-8810 | 2013-05-14 |
| 1205271814 | Alicia Myers | Registered Nurse | 505b Arlington Dr, Charleston, SC 29414-5006 | 2013-05-09 |
| 1922443639 | Jill M Burgin | Registered Nurse | 883 Mikell Dr, Charleston, SC 29412-5042 | 2013-05-08 |
| 1851736649 | Alethia Pamela Brown | Registered Nurse | 640 Butte St, Charleston, SC 29414-5207 | 2013-05-07 |
| 1679918593 | Lidie Dorn Collier | Registered Nurse | 2 Perry St, Charleston, SC 29403-4739 | 2013-05-06 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25311 |
Please comment or provide details below to improve the information on JESSICA FIDLER.
| 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.