JESSICA SPEARES (NPI# 1861770794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861770794 |
| Entity Type | Individual |
| Full Name | JESSICA SPEARES |
| Credential | RPA-C |
| Practice Address |
340 Arnett Blvd Rochester NY 14619-1147 |
| Practice Telephone | 5852352250 |
| Practice Fax Number | 5852350011 |
| Mailing Telephone | 5852352250 |
| Mailing Fax Number | 5852350011 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
23014893 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
340 ARNETT BLVD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14619-1147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396735007 | William Raymond Morehouse | Family Medicine | 340 Arnett Blvd, Rochester, NY 14619-1147 | 2005-10-24 |
| 1881015808 | Kristi Michelle Royko | Nurse Practitioner | 340 Arnett Blvd, Rochester, NY 14619-1147 | 2013-12-17 |
| 1134477334 | His Branches, Inc. | Clinic/Center | 340 Arnett Blvd, Rochester, NY 14619-1147 | 2012-08-17 |
| 1962757633 | Karen Elizabeth Dalton | Internal Medicine | 340 Arnett Blvd, Rochester, NY 14619-1147 | 2012-07-19 |
| 1134485840 | His Branches, Inc. | Clinic/Center | 340 Arnett Blvd, Rochester, NY 14619-1147 | 2012-04-06 |
| 1487844338 | Jennifer Lynn Celso | Physician Assistant | 340 Arnett Blvd, Rochester, NY 14619-1147 | 2007-07-26 |
| 1508889783 | Nancy M Green | Family Medicine | 340 Arnett Blvd, Rochester, NY 14619-1147 | 2006-07-26 |
| 1770506958 | Matthew D Mack | General Practice | 340 Arnett Blvd, Rochester, NY 14619-1147 | 2006-07-26 |
| 1760421341 | Eric Alan Kerr | Physician Assistant | 340 Arnett Blvd, Rochester, NY 14619-1147 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558910430 | Cotton Blue Medical Transportation | Non-emergency Medical Transport (VAN) | 1035 Genesee Park Blvd, Rochester, NY 14619 | 2019-09-04 |
| 1700342714 | Shalom Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 84 Penhurst St, Rochester, NY 14619 | 2019-02-14 |
| 1639656689 | Dl Nursing Services | Licensed Practical Nurse | 116 Kingsboro Rd, Rochester, NY 14619 | 2018-07-23 |
| 1790206720 | Albert Tomlin Jr. | Driver | 121 Aberdeen St, Rochester, NY 14619 | 2017-06-29 |
| 1760915995 | Irie Transportation Associated | Taxi | 8-b Bradburn St, Rochester, NY 14619 | 2017-04-05 |
| 1902265366 | Trifena Browning | Licensed Practical Nurse | 167 Normandy Ave, Rochester, NY 14619 | 2016-02-15 |
| 1144663154 | Lehana Doctor | Social Worker | 107 Norris Drive, Suite D, Rochester, NY 14619 | 2013-04-09 |
| 1003190745 | Tanis Sharon Bridges | Registered Nurse | 261 Elmdorf Avenue, Rochester, NY 14619 | 2011-09-29 |
| 1386965853 | Pelecia Bordeaux | Licensed Practical Nurse | 340 Thurston Rd, Rochester, NY 14619 | 2010-06-18 |
| 1083933477 | Antoniece Keyonia-renee Poole | Licensed Practical Nurse | 77 Ringle St., Rochester, NY 14619 | 2010-05-25 |
| Find all providers in zip 14619 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1659923704 | Colin J Montgomery | Physician Assistant | 2400 S Clinton Ave Bldg G2nd, Rochester, NY 14618-2668 | 2019-07-09 |
| 1184183592 | Jera Delibashi | Physician Assistant | 89 Genesee St Fl 3, Rochester, NY 14611-3201 | 2019-03-15 |
| 1255808309 | Lauren Leigh D'hont | Physician Assistant | 400 White Spruce Blvd Ste A, Rochester, NY 14623-1619 | 2018-10-26 |
| 1124547823 | Lucas Polito | Physician Assistant | 1724 East Ridge Road, Rochester, NY 14622 | 2017-09-13 |
| 1629523956 | Reggie Testa Cayetano | Physician Assistant | 601 Elmwood Ave Box 619-13, Rochester, NY 14642-0001 | 2016-08-16 |
| 1891248373 | Padma Priya Rathina Sabapathy | Physician Assistant | 1561 Long Pond Rd Ste 302, Rochester, NY 14626-4135 | 2016-08-01 |
| 1821407669 | Amy C Dvorak | Physician Assistant | 1425 Portland Ave # 306, Rochester, NY 14621-3001 | 2014-08-06 |
| 1154741742 | Amanda Buckner | Physician Assistant | 158 Sawgrass Dr, Floor 2, Rochester, NY 14620-4648 | 2014-04-22 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on JESSICA SPEARES.
| 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.