JESSICA BURRELL (NPI# 1659882405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659882405 |
| Entity Type | Individual |
| Full Name | JESSICA BURRELL |
| Credential | LMT |
| Practice Address |
845 Montecruz Dr Lawrenceville GA 30045-7189 |
| Practice Telephone | 4045138404 |
| Mailing Telephone | 4045138404 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT011837 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245847 | Jessica Burrell | Speech-Language Pathologist | 435 Glenwood Rd, Binghamton, NY 13905-1606 | 2018-08-16 |
| Street Address |
845 MONTECRUZ DR |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-7189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215552518 | Kari Renee Burfield | Massage Therapist | 2839 Wynhaven Oaks Way, Lawrenceville, GA 30043-1307 | 2020-06-11 |
| 1497381644 | Heather Klein | Massage Therapist | 20014 State Route 33 E, Lawrenceville, IL 62439-4595 | 2020-03-19 |
| 1306305602 | Demitra Rogers | Massage Therapist | 860 Duluth Hwy Ste 152, Lawrenceville, GA 30043-5336 | 2019-03-16 |
| 1932617503 | Faye Jean Mellard | Massage Therapist | 237 Scenic Hwy, Lawrenceville, GA 30046-5621 | 2018-01-17 |
| 1316481070 | Shenel Vanterpool | Massage Therapist | 265 Brady Walk, Lawrenceville, GA 30046-8846 | 2016-12-14 |
| 1700235553 | Elizabeth Swain | Massage Therapist | 1746 Hedington Ct, Lawrenceville, GA 30045-3721 | 2016-06-11 |
| 1891106753 | Victoria Hyde | Massage Therapist | 54 Main St., Lawrenceville, PA 16929 | 2014-05-14 |
| 1891118816 | Caryl Sue Fasnacht | Massage Therapist | 2685 Logan Way, Lawrenceville, GA 30043-6111 | 2014-01-27 |
| 1215292834 | The Spahhh, Inc. | Massage Therapist | 1475 Buford Dr Ste 500, Lawrenceville, GA 30043-3798 | 2012-07-10 |
| 1043539224 | Tonya Deon Leary | Massage Therapist | 230 Collins Industrial Way, Lawrenceville, GA 30043-5445 | 2010-05-26 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
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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.