JESSICA SHEARER (NPI# 1730613779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730613779 |
| Entity Type | Individual |
| Full Name | JESSICA SHEARER |
| Credential | NNP |
| Practice Address |
3200 Providence Dr Building M, Floor 1 Anchorage AK 99508-4615 |
| Mailing Address |
Po Box 4105 Portland OR 97208-4105 |
| Practice Telephone | 9072123614 |
| Practice Fax Number | 9072124896 |
| Mailing Telephone | 8669071068 |
| Mailing Fax Number | 4259179141 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
119835 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609424100 | Jessica Michelle Shearer | Social Worker | 10611 Nw Sr 20, Bristol, FL 32321 | 2019-08-28 |
| Street Address |
3200 PROVIDENCE DR BUILDING M, FLOOR 1 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809429 | James M Moran | Pharmacist | 3200 Providence Dr, Anchorage, AK 99508-4661 | 2005-05-30 |
| 1104425073 | Lennett Lerch | Registered Nurse | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-10-21 |
| 1013521145 | Liberty Ann Helgeson | Registered Nurse | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-09-05 |
| 1245840651 | Andrew Zwerlein | Pharmacist | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-08-01 |
| 1417572090 | Jordan Iverson | Registered Nurse | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-06-10 |
| 1841814795 | Providence Health & Services Washington | Psychologist | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-06-05 |
| 1609490762 | Ellen Reeder | Nurse Practitioner | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-06-04 |
| 1265061279 | Providence Health & Services Washington | Clinic/Center | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2020-04-02 |
| 1437794138 | Haley Monolopolus | Pharmacist | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2019-11-17 |
| 1144707373 | Traci Sickich | Nurse Practitioner | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2018-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710031125 | Stephanie M Fox | Nurse Practitioner | 3340 Providence Dr Ste 366, Anchorage, AK 99508-4627 | 2007-01-23 |
| 1144764879 | Maria Jessica Chambers | Nurse Practitioner | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2016-12-14 |
| 1851762249 | Renee Francisco | Nurse Practitioner | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2015-10-12 |
| 1154664019 | Sharon Rose Liska | Nurse Practitioner | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2013-03-28 |
| 1750679569 | Yeounkyoung Park | Nurse Practitioner | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2011-07-13 |
| 1649389719 | Anne M Grosshans | Nurse Practitioner | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2006-08-30 |
| 1427165927 | Jane Noonan | Nurse Practitioner | 3200 Providence Dr, Nicu, Anchorage, AK 99508-4615 | 2006-08-23 |
Please comment or provide details below to improve the information on JESSICA SHEARER.
| 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.