DR. JESSICA MARIE LOPEZ (NPI# 1962949420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962949420 |
| Entity Type | Individual |
| Full Name | DR. JESSICA MARIE LOPEZ |
| Credential | D.C. |
| Practice Address |
4415 Byron Center Ave Sw Wyoming MI 49519-4800 |
| Mailing Address |
642 Chancellor Dr Sw Grandville MI 49418-3377 |
| Practice Telephone | 6165342944 |
| Practice Fax Number | 6165342944 |
| Mailing Telephone | 6162957665 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301010535 | MI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946731 | Jessica Mirella Lopez | Occupational Therapy Assistant | 15928 Ventura Blvd Ste 218, Encino, CA 91436-4413 | 2020-03-03 |
| 1982268207 | Jessica Ann Lopez | Counselor | 2040 Babcock Rd Ste 402, San Antonio, TX 78229-4428 | 2019-04-23 |
| 1053870568 | Jessica Ana Lopez | Licensed Practical Nurse | 1447 E 2nd St Apt D, Brooklyn, NY 11230-5531 | 2019-03-14 |
| 1669949269 | Jessica Lopez | Psychologist | Carr 134 Km 6.9 Int Berrocal Bo Bayaney, Hatillo, PR 00659 | 2018-11-01 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1992152060 | Jessica Lopez | Skilled Nursing Facility | 27 Wyndham Rd, Brentwood, NY 11717-2336 | 2016-05-18 |
| 1386023984 | Jessica Marie Lopez | Specialist | 930 Nottingham Drive, Oxnard, CA 93030 | 2015-05-28 |
| 1881942878 | Jessica Lopez | Occupational Therapist | 10475 Sw 43rd St, Miami, FL 33165-4910 | 2012-08-22 |
| 1356603419 | Jessica Ayala Lopez | Physician Assistant | 708 Memorial Mews St Apt A, Houston, TX 77079-8408 | 2012-06-13 |
| 1225643794 | Jessica Lopez | Behavior Technician | 625 The City Dr S Ste 120, Orange, CA 92868-3352 | 2020-09-11 |
| Street Address |
4415 BYRON CENTER AVE SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770500548 | Nottawaseppi Huron Band of The Potawatomi | Clinic/Center | 4415 Byron Center Ave Sw, Wyoming, MI 49519-4800 | 2006-07-16 |
| 1467979419 | Doctor of Chiropractic and Health Science Pllc | Chiropractor | 4415 Byron Center Ave Sw, Wyoming, MI 49519-4800 | 2017-08-29 |
| 1467516633 | Halliday Health Solutions, L.L.C. | Chiropractor | 4415 Byron Center Ave Sw, Wyoming, MI 49519-4800 | 2006-12-21 |
| 1295742351 | Michael Richard Halliday | Chiropractor | 4415 Byron Center Ave Sw, Wyoming, MI 49519-4800 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134603798 | Brian Davis Plummer | Chiropractor | 4500 Penny Ln Sw, Wyoming, MI 49418-8324 | 2018-09-19 |
| 1740703503 | Jeremiah Gordon Clarke | Chiropractor | 5570 Wilson Ave Sw Ste L, Wyoming, MI 49418-8867 | 2017-07-24 |
| 1215306188 | Katherine Demeester | Chiropractor | 1027 Gezon Pkwy Sw, Wyoming, MI 49509-9542 | 2015-09-21 |
| 1881029643 | Christina Violante | Chiropractor | 1851 44th St Sw Ste N, Wyoming, MI 49519-6440 | 2013-09-11 |
| 1114266053 | Grand Rapids Medical Center Inc | Chiropractor | 551 36th St Se Unit D, Wyoming, MI 49548-2355 | 2013-02-13 |
| 1760735641 | Paul Alan Kaminski | Chiropractor | 1845 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2012-10-17 |
| 1124318183 | Erik Kowalke | Chiropractor | 1021 Gezon Pkwy Sw, Wyoming, MI 49509-9542 | 2011-04-12 |
| 1427355817 | Wyoming Chiropractic Clinic LLC | Chiropractor | 112 E Webster St, Wyoming, IA 52362-7775 | 2011-02-21 |
| 1588988174 | Tuong-quynh Thuy Vu | Chiropractor | 2950 Vicky Dr Sw, Wyoming, MI 49418-8720 | 2010-03-25 |
| 1982934907 | Craft Chiropractic Center PC | Chiropractor | 1586 44th St Sw, Wyoming, MI 49509-4314 | 2010-01-14 |
| Find all providers in WYOMING | ||||
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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.