JESSICA KATHERINE HALL (NPI# 1992223762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992223762 |
| Entity Type | Individual |
| Full Name | JESSICA KATHERINE HALL |
| Practice Address |
11800 E 12 Mile Rd Warren MI 48093-3472 |
| Practice Telephone | 5865735000 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 4704272780 | MI | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | 4704272780 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | AP134654 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 919 E 32nd St, Austin, TX 787052703 | 5125447111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433505 | Jessica Renae Hall | Physician Assistant | 201 Bougainvillea Loop, Honolulu, HI 96818-1495 | 2020-10-08 |
| 1083268932 | Jessica Marie Hall | Physical Therapist | 8120 Lakeview Pkwy Ste 400, Rowlett, TX 75088-4595 | 2019-07-29 |
| 1942868732 | Jessica Claire Hall | Speech-Language Pathologist | 15 Stephen Ter, Parsippany, NJ 07054-1424 | 2019-06-05 |
| 1568948958 | Jessica E Hall | Assistant Behavior Analyst | 4614 Waverly Road, Huntington, WV 25704 | 2018-07-18 |
| 1578050894 | Jessica A Hall | Counselor | 338 Leo Dr, Gardner, MA 01440-1266 | 2018-04-23 |
| 1023552825 | Jessica Hall | Behavior Technician | 10810 132nd Street Ct Nw, Gig Harbor, WA 98329-7021 | 2016-12-13 |
| 1902294747 | Jessica L Hall | Social Worker | 8337 E 81st St Apt 1210, Tulsa, OK 74133-8051 | 2015-01-01 |
| 1033530332 | Jessica Hall | Registered Nurse | 1506 Vada Rd, Bainbridge, GA 39817-8352 | 2014-01-04 |
| 1295162105 | Jessica Draney Hall | Physical Therapist | 67 Doc Perkes, Afton, WY 83110 | 2013-10-09 |
| 1710242524 | Jessica Hall | Assistant Behavior Analyst | 2843 Sw Mill Creek Way, Palm City, FL 34990 | 2012-07-08 |
| Street Address |
11800 E 12 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48093-3472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280940 | Manisha Kaur Bajwa | Pharmacist | 11800 E 12 Mile Rd, Pharmacy Department, Warren, MI 48093-3472 | 2005-07-28 |
| 1679181986 | Roxana Lionte | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-07-22 |
| 1649893355 | Patrick Yang | Student in an Organized Health Care Education/Training Program | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-05-28 |
| 1831711936 | Elisheva Ellenberg | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-05-12 |
| 1427686716 | Pavan Kumar Ravipati | Student in an Organized Health Care Education/Training Program | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-03-31 |
| 1962038885 | Natasha Mehta | Student in an Organized Health Care Education/Training Program | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-03-23 |
| 1194350645 | Katherine Sara Streidl | Nurse Anesthetist, Certified Registered | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-03-05 |
| 1891326898 | Clara Poparad-stezar | Student in an Organized Health Care Education/Training Program | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-01-28 |
| 1023653797 | Lauren Ashley Shailor | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2019-11-16 |
| 1700428984 | Olivia Lynn Hedman | Dietitian, Registered | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2019-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518514926 | Brittany Mazejko | Nurse Practitioner | 1745 Niles Cortland Rd Ne, Warren, OH 44484-6046 | 2019-08-20 |
| 1699276295 | Sabrina Vitale | Nurse Practitioner | 32318 Dover Ave, Warren, MI 48088-6903 | 2018-02-28 |
| 1417313727 | Mai Shoua Xiong | Nurse Practitioner | 11800 East 12 Mile Road, Warren, MI 48093 | 2016-01-04 |
| 1023485638 | Rowena Callo Teodoro | Nurse Practitioner | 27560 Hoover Rd., Warren, MI 48093 | 2015-08-31 |
| 1598173056 | Whitney J. Shafer | Nurse Practitioner | 470 Bennett Dr, Warren, IN 46792 | 2014-07-29 |
| 1508130097 | Psych Solutions Inc. | Nurse Practitioner | 2189 Stillwagon Rd Se, Warren, OH 44484-3169 | 2012-02-29 |
| 1255531489 | Jill M Gorton | Nurse Practitioner | 2817 Market St, Warren, PA 16365-5205 | 2007-07-25 |
| 1902953763 | Julie M Towery | Nurse Practitioner | 824 Huntington Ave # In, Warren, IN 46792-9402 | 2007-01-04 |
| 1831290295 | Melissa D Shene | Nurse Practitioner | 418 Pennsylvania Ave E, Warren, PA 16365-2775 | 2006-09-26 |
| 1699771139 | Kamie Dee Repine | Nurse Practitioner | 2 Crescent Park West, Warren Faculty Specialists, Warren, PA 16365-2111 | 2005-06-21 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on JESSICA KATHERINE HALL.
| 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.