JESSICA MARIE DESTEFANO (NPI# 1730796442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730796442 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE DESTEFANO |
| Practice Address |
8623 Honeycomb Path Cicero NY 13039-7844 |
| Practice Telephone | 3154277251 |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2020-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273104 | Jessica Destefano | Occupational Therapist | 2579 Ocean Ave Fl 3, Brooklyn, NY 11229-4552 | 2019-09-11 |
| 1770995029 | Jessica M Destefano | Family Medicine | 501 Howard Ave, Suite F2, Altoona, PA 16601-4882 | 2014-05-21 |
| Street Address |
8623 HONEYCOMB PATH |
| City | CICERO |
| State | NY |
| Zip Code | 13039-7844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238212 | Cody Hodgson | Physician Assistant | 6993 Van Antwerp Drive, East, Cicero, NY 13039 | 2019-08-01 |
| 1164989810 | Emily Grace Massey | Occupational Therapy Assistant | 5962 Rte 31, Cicero, NY 13039 | 2019-02-28 |
| 1356837512 | Jennifer Lonnen Dds Pllc | Dentist | 6221 Rt 31 Ste 102, Cicero, NY 13039 | 2018-07-10 |
| 1285186916 | Bismarck Np Psychiatric Services Pllc | Nurse Practitioner | 6221 Route 31, Suite 106, Cicero, NY 13039 | 2016-10-28 |
| 1386090397 | Kristin Raineri | Dentist | 5972 Rt 31, Cicero, NY 13039 | 2016-05-09 |
| 1053788281 | Empire Vision Center, Inc | Eyewear Supplier (Equipment, not the service) | 5653 East Circle Drive, Cicero, NY 13039 | 2015-08-24 |
| 1003251018 | Christina M Smith | Licensed Practical Nurse | 8449 Bayridge Rd, Cicero, NY 13039 | 2013-05-03 |
| 1134463433 | Margaret L Southard | Case Manager/Care Coordinator | 5962 Rt 31, Suite 7 Box 10, Cicero, NY 13039 | 2012-11-27 |
| 1245589852 | Samantha Danielle Dillon | Pharmacist | 8061 Brewerton Road, Cicero, NY 13039 | 2012-08-29 |
| 1861769168 | Laura Shaw | Counselor | 6221 Rt. 31, Suite 110, Cicero, NY 13039 | 2011-11-30 |
| Find all providers in zip 13039 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619465036 | Liam Michael Kennedy | Student in an Organized Health Care Education/Training Program | 5231 W 23rd Place, Cicero, IL 60804-2807 | 2018-05-01 |
| 1659732154 | Luis Perez | Student in an Organized Health Care Education/Training Program | 3115 S 53rd Ave, Cicero, IL 60804-3917 | 2016-03-10 |
| 1093194656 | Linda Estreya Anaya | Student in an Organized Health Care Education/Training Program | 5341 W. Cermak Rd, Family Service Mental Health Center of Cicero, Cicero, IL 60804-9001 | 2015-05-28 |
| 1942855994 | Aida Rodriguez | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2019-08-06 |
| 1023548955 | Roxanna Chavez | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2017-06-13 |
| 1700262235 | Carol Salas | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2015-08-06 |
| 1255716288 | Erica Linares | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2015-07-20 |
| 1114350766 | Edalia Fernandez | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2013-08-19 |
| 1912238072 | Kathryn Gambach | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2010-01-28 |
| 1538497441 | Samar Harfi | Student in an Organized Health Care Education/Training Program | 5341 W Cermak Rd, Cicero, IL 60804-2817 | 2009-12-03 |
| Find all providers in CICERO | ||||
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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.