JESSICA CROWELL BUMPUS (NPI# 1972012060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972012060 |
Entity Type | Individual |
Full Name | JESSICA CROWELL BUMPUS |
Credential | MSN, FNP-C |
Practice Address |
62 N Ayer St Harvard IL 60033 |
Mailing Address |
62 N Ayer St Harvard IL 60033-2870 |
Practice Telephone | 8159434339 |
Mailing Telephone | 8159434339 |
Enumeration Date | 2017-09-21 |
Last Update Date | 2018-09-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209016610 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
62 N AYER ST |
City | HARVARD |
State | IL |
Zip Code | 60033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770821670 | Community Health Partnership of Illinois | Clinic/Center | 62 N Ayer St, Suites A & B, Harvard, IL 60033-2870 | 2013-01-28 |
1922543636 | Community Health Partnership of Illinois | Clinic/Center | 62 N Ayer St, Suites C & D, Harvard, IL 60033-2870 | 2017-01-04 |
1548663677 | Yaneeth Haro Hilgenberg | Social Worker | 62 N Ayer St, Harvard, IL 60033-2870 | 2014-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902962681 | Jon Karl Warnecke | Chiropractor | 30 N Ayer St, Harvard, IL 60033 | 2006-12-28 |
1164524336 | Timothy A Chrapkiewicz | Dentist | 604 N Division, Harvard, IL 60033 | 2006-09-01 |
1972584423 | Terri Lynne O'malley | Pediatrics | 5615 Irish Lane, Harvard, IL 60033 | 2005-11-10 |
1609869163 | Victor I Garber | Emergency Medicine | 901 Grant St, Harvard, IL 60033 | 2005-08-30 |
1093944324 | Imran Ali | Optometrist | 313 N Division St, Harvard, IL 60033 | 2009-07-08 |
1548276991 | Joseph P Mazzei | Emergency Medicine | 901 Grant St, Harvard, IL 60033 | 2006-07-31 |
1700392024 | Sandra Lee Knop | Speech-Language Pathologist | 1200 N Jefferson St, Harvard, IL 60033-1730 | 2017-12-21 |
1891805081 | James H Sullivan | Emergency Medicine | 901 Grant Street, Harvard, IL 60033-1821 | 2006-08-30 |
1629588660 | Margaret A. Pawlowski | Speech-Language Pathologist | 901 Grant St, Harvard, IL 60033-1821 | 2017-10-04 |
1538606488 | Amber Lynn Omiecinski | Nurse Practitioner | 901 Grant St, Harvard, IL 60033-1821 | 2017-01-30 |
Find all providers in zip 60033 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538606488 | Amber Lynn Omiecinski | Nurse Practitioner | 901 Grant St, Harvard, IL 60033-1821 | 2017-01-30 |
1427424696 | Jennifer Buchholz | Nurse Practitioner | 233 Ayer Rd, Harvard, MA 01451-1131 | 2015-08-11 |
1730498668 | Rebecca Tam | Nurse Practitioner | 233 Ayer Rd, Harvard, MA 01451-1131 | 2010-09-27 |
1265564116 | Anna M Pollock | Nurse Practitioner | 233 Ayer Rd, Harvard, MA 01451-1131 | 2007-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
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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.