JESSICA BROCK (NPI# 1740582915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740582915 |
| Entity Type | Individual |
| Full Name | JESSICA BROCK |
| Credential | LPN |
| Practice Address |
1680 Walden Ave Cheektowaga NY 14225-4914 |
| Mailing Address |
64 14th St Jamestown NY 14701-3031 |
| Practice Telephone | 7168947777 |
| Practice Fax Number | 7167940604 |
| Mailing Telephone | 7166610560 |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 269256 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356909360 | Jessica Beth Brock | Early Intervention Provider Agency | 42 Gwendolyn Pl, East Islip, NY 11730-3220 | 2019-06-04 |
| 1902125024 | Jessica C Brock | Physician Assistant | Endocrinology Clinic, 740 S. Limestone, Lexington, KY 40536-0284 | 2010-05-28 |
| 1962636233 | Jessica M Brock | Radiologic Technologist | 169 Highland Dr, Mandeville, LA 70471 | 2009-05-14 |
| 1376157578 | Jessica Shae Brock | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-09-04 |
| 1851846802 | Jessica Suzanne Brock | Specialist/Technologist | 180 Hansen Ct, Wood Dale, IL 60191-1121 | 2016-08-19 |
| 1891191102 | Jessica Brock | Physical Therapist | 125 Dillmont Dr, Columbus, OH 43235-4658 | 2014-11-13 |
| 1295148914 | Jessica Marie Brock | Nurse Practitioner | 1010 Main St S, Mc Kee, KY 40447-7089 | 2014-06-10 |
| 1053540450 | Jessica Nicole Brock | Nurse Practitioner | 5955 Airport Blvd, Mobile, AL 36608 | 2009-07-07 |
| 1699925537 | Jessica Gray Brock | Physician Assistant | 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607-6685 | 2008-09-29 |
| Street Address |
1680 WALDEN AVE |
| City | CHEEKTOWAGA |
| State | NY |
| Zip Code | 14225-4914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841384906 | Aftercare Nursing Services, Inc. | Home Health | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2006-10-03 |
| 1568087849 | Andrea Ann Doll | Registered Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2020-06-11 |
| 1609490754 | Kelli Anne Lafler | Registered Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2020-06-04 |
| 1366073652 | Patricia Ann Gallisdorfer | Registered Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2020-01-27 |
| 1164987095 | Mary Sharp | Registered Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2019-02-05 |
| 1831692094 | Katherine Davis | Registered Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2018-03-14 |
| 1700389194 | Elizabeth Ferro | Registered Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2018-03-13 |
| 1558861179 | Ashley Miles | Licensed Practical Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2018-02-20 |
| 1902306541 | Terrhonda Mcclaney | Licensed Practical Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2018-02-20 |
| 1902304892 | Eleanore Weppler | Licensed Practical Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2018-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639885 | Jennifer Marki | Specialist/Technologist | 4226 Genesee St, Suite 400, Cheektowaga, NY 14225 | 2020-08-14 |
| 1609498138 | Schulz, Adult Health Np, Pllc | Nurse Practitioner | 678 Cleveland Drive, Cheektowaga, NY 14225 | 2020-05-06 |
| 1790252914 | Jacob William Debell | Student in an Organized Health Care Education/Training Program | 3469 Harlem Road, Cheektowaga, NY 14225 | 2018-10-25 |
| 1114441284 | Michael P Gugliuzza | Emergency Medical Technician, Paramedic | 239 Westbook Dr, Cheektowaga, NY 14225 | 2017-08-01 |
| 1841720307 | Buffalo Dental Implant | Dentist | 1526 Walden Ave. Suite 600, Buffalo Dental Implant, Cheektowaga, NY 14225 | 2017-06-18 |
| 1396279741 | Jacob Habermehl | Specialist/Technologist | 67 Lynncrest Terrace, Cheektowaga, NEW YORK 14225 | 2017-04-12 |
| 1588196901 | Cha Vu | Dentist | 2521 Walden Ave, Buffalo, NY 14225 | 2017-04-03 |
| 1881040244 | Amanda Sanders | Licensed Practical Nurse | 21 Kingswood Dr, Cheektowaga, NY 14225 | 2016-05-04 |
| 1255748638 | Valerie Knowles | Licensed Practical Nurse | 3527 Harlem Road, Cheektowaga, NY 14225 | 2014-07-17 |
| 1043569585 | Mark Timothy Morreale | Optometrist | 2000 Walden Avenue, Cheektowaga, NY 14225 | 2012-08-30 |
| Find all providers in zip 14225 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609485309 | Felicia R Herrmann | Licensed Practical Nurse | 27 Laurentian Dr, Cheektowaga, NY 14225-2755 | 2020-07-28 |
| 1306480397 | Bianca Saleh | Licensed Practical Nurse | 42 Burdette Dr, Cheektowaga, NY 14225-1768 | 2019-11-01 |
| 1528624335 | Briana Alicia Lucas | Licensed Practical Nurse | 8 Mayfair Ct, Cheektowaga, NY 14225-2137 | 2019-05-16 |
| 1720598667 | Zena Davis | Licensed Practical Nurse | 113 Ivanhoe Rd, Cheektowaga, NY 14215-3622 | 2017-10-05 |
| 1083133326 | Donald Sullivan | Licensed Practical Nurse | 210 Oehman Blvd, Cheektowaga, NY 14225-1643 | 2017-09-19 |
| 1629597398 | Donna Carubba | Licensed Practical Nurse | 122 Lemoine Ave, Cheektowaga, NY 14227-1028 | 2017-09-14 |
| 1003339870 | Elasha Thompson | Licensed Practical Nurse | 390 Pine Ridge Rd, Cheektowaga, NY 14225-3931 | 2017-07-24 |
| 1487175873 | Shalisha Hannah Moore | Licensed Practical Nurse | 25 Garden Village Dr Apt 1, Cheektowaga, NY 14227-3376 | 2017-07-06 |
| 1124557962 | Crystal Mucci | Licensed Practical Nurse | 1126 Cleveland Drive, Cheektowaga, NY 14225-1422 | 2017-06-06 |
| 1639621618 | Kim Arnold | Licensed Practical Nurse | 50 Williamstowne Ct, Apt 8, Cheektowaga, NY 14227-3916 | 2016-10-26 |
| Find all providers in CHEEKTOWAGA | ||||
| City | CHEEKTOWAGA |
| Zip Code | 14225 |
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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.