JESSICA KIM (NPI# 1710599360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710599360 |
| Entity Type | Individual |
| Full Name | JESSICA KIM |
| Credential | MA |
| Practice Address |
30 Eastbrook Rd Ste 303 Dedham MA 02026-2084 |
| Practice Telephone | 7638091617 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558848127 | Jessica Kim | Chiropractor | 415 N Camden Dr Ste 204, Beverly Hills, CA 90210-4438 | 2018-07-25 |
| 1730691114 | Jessica Kim | Pharmacist | 1145 E Elmwood Ave, Burbank, CA 91501-1665 | 2017-10-25 |
| 1487053328 | Jessica Kim | Nurse Practitioner | 1 Clarks Hl Ste 305, Framingham, MA 01702-8172 | 2014-08-16 |
| 1578972741 | Jessica Kim | Pharmacist | 1864 Markley St, Norristown, PA 19401-2904 | 2014-08-12 |
| 1467879767 | Jessica Kim | Dietitian, Registered | 3912 10th St Se Ste 101, Puyallup, WA 98374-2188 | 2014-03-25 |
| 1972878973 | Jessica Lee Kim | Occupational Therapist | 12774 Jolette Ave, Granada Hills, CA 91344-1431 | 2012-03-09 |
| 1558656843 | Jessica S Kim | Dentist | 1111 Sixth Ave., #510, San Diego, CA 92101 | 2011-06-14 |
| 1902195811 | Jessica Kim | Student in an Organized Health Care Education/Training Program | 28 Centre Drive, Mailstop 416sa1, Milton, VT 05468 | 2011-03-31 |
| 1952901639 | Jessica Kim | Assistant Behavior Analyst | 1063 Mcgaw Ave, Irvine, CA 92614-5505 | 2020-10-30 |
| 1225656432 | Jessica Stephanie Kim | Registered Nurse | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-07-14 |
| Street Address |
30 EASTBROOK RD STE 303 |
| City | DEDHAM |
| State | MA |
| Zip Code | 02026-2084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
| 1497354674 | Lifetime Physical Therapy | Physical Therapist | 453 Sprague St, Dedham, MA 02026 | 2020-10-20 |
| 1164060067 | Healthy Healing Home Care Agency LLC | In Home Supportive Care | 3 Allied Dr Suite 303, Dedham, MA 02026 | 2019-12-11 |
| 1689149023 | Alyssa Michel | Counselor | 20 E Astbrook Rd, Suite 104, Dedham, MA 02026 | 2018-10-12 |
| 1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
| 1598283848 | Jason Peltier | Physical Therapist | 606 Providence Highway, Dedham, MA 02026 | 2017-09-07 |
| 1558883371 | Padme Physical Therpay | Clinic/Center | 227 Legacy Place Boulevard, Stil Studio, Dedham, MA 02026 | 2017-07-13 |
| 1851828107 | Pm Pediatrics of New England | Pediatrics | 719 Providence Highway, Dedham, NY 02026 | 2017-05-17 |
| 1740715846 | Stil Legacy Dedham | Physical Therapist | 227 Legacy Place, Dedham, MA 02026 | 2017-04-26 |
| 1053856310 | Donald Hughes | Social Worker | 270 Bridge Street, Suite 301, Dedham, MA 02026 | 2016-12-22 |
| Find all providers in zip 02026 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144777145 | Bianca Grace | Counselor | 31 Whitehall St, Dedham, MA 02026-2206 | 2016-09-07 |
| 1528437886 | Ashley Riker | Counselor | 13 Altoona Rd, Dedham, MA 02026-5301 | 2015-09-16 |
| 1558737841 | Jacqueline Donovan | Counselor | 20 Eastbrook Rd Ste 104, Dedham, MA 02026-2088 | 2015-08-20 |
| 1437531407 | Thaddieus Sarpy | Counselor | 369 Washington St Ste 202, Dedham, MA 02026-1869 | 2015-06-25 |
| 1619224037 | Nicholas James Pietrwski | Counselor | 70 Leonard St, Dedham, MA 02026-2624 | 2012-08-06 |
| 1043542830 | Renee T Rejent-bowser | Counselor | 2 Fox Meadow Ln, Dedham, MA 02026-6208 | 2010-02-04 |
| 1770817538 | Lisa E Bastos | Counselor | 20 Eastbook Rd, Suite 103, Dedham, MA 02026 | 2009-09-28 |
| 1285886614 | Blanca I Valentin | Counselor | 29 Paradise Ln, Dedham, MA 02026-2907 | 2008-10-16 |
| 1780706077 | Frances A Dunning | Counselor | 827 Green Lake Rd, Dedham, ME 04429-4541 | 2007-04-06 |
| 1982732293 | Julie Marie Obrien | Counselor | 33 Youngs Rd, Dedham, MA 02026-3417 | 2007-02-28 |
| Find all providers in DEDHAM | ||||
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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.