JESSICA WASHINGTON (NPI# 1053962381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053962381 |
| Entity Type | Individual |
| Full Name | JESSICA WASHINGTON |
| Practice Address |
1200 Vera Ln Kennedale TX 76060-6002 |
| Practice Telephone | 6823333521 |
| Mailing Telephone | 6823333521 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| N | 376G00000X | Nursing Home Administrator | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| N | 385HR2050X |
Respite Care Specialization: Respite Care Camp |
Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126021 | Jessica Washington | Behavioral Analyst | 419 E Tamarack Ave Unit 21, Inglewood, CA 90301-6312 | 2019-10-18 |
| 1396024923 | Jessica La'nelle Washington | Case Manager/Care Coordinator | 4415 Menzer Rd, Fort Worth, TX 76103-1817 | 2011-08-13 |
| 1083226955 | Jessica Washington | Counselor | 333 N Michigan Ave Ste 704, Chicago, IL 60601-3905 | 2020-08-20 |
| 1811517915 | Jessica Elaine Washington | Behavior Technician | 1135 Senoia Rd, Tyrone, GA 30290-1625 | 2020-04-20 |
| 1164067468 | Jessica Tanya Washington | Behavior Technician | 6080 Jericho Tpke Ste 200, Commack, NY 11725-2808 | 2019-11-10 |
| 1497235600 | Jessica L Washington | Behavioral Analyst | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2018-08-16 |
| 1699020123 | Jessica Washington | Obstetrics & Gynecology | 820 N Thompson Ln, Ste 1a, Murfreesboro, TN 37129 | 2012-07-20 |
| 1356641021 | Jessica A Washington | Counselor | 331 Main Street, Norwich, CT 06360-3035 | 2010-10-28 |
| 1124173299 | Jessica G Washington | Counselor | 2814 W 2nd St, Wilmington, DE 19805-1807 | 2007-01-25 |
| Street Address |
1200 VERA LN |
| City | KENNEDALE |
| State | TX |
| Zip Code | 76060-6002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558840652 | Heather N Smith | Speech-Language Pathologist | 140 W Kennedale Pkwy, Kennedale, TX 76060 | 2018-08-09 |
| 1932317575 | Kennedale Isd | Local Education Agency (LEA) | 140 W Kennedale Pwky, Kennedale, TX 76060 | 2007-05-18 |
| 1508873985 | Texas Quality Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 925 Kennedale Pkwy, Kennedale, TX 76060 | 2006-08-01 |
| 1083654974 | Judy Pricer Mathea | Counselor | 801 A Kennedale Sublett Rd, Kennedale, TX 76060 | 2006-06-08 |
| 1790879302 | Plum Tree | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 925 Kennedale Pkwy, Kennedale, TX 76060 | 2006-10-03 |
| 1902999766 | Peachtree Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 925 Kennedale Pkwy, Kennedale, TX 76060 | 2006-10-02 |
| 1376555037 | Ray's Pharmacy, Inc. | Pharmacy | 301 W Kennedale Pkwy, Kennedale, TX 76060-2421 | 2006-08-12 |
| 1346327509 | Deanna Dean Lowe | Pharmacist | 301 W Kennedale Pkwy, Kennedale, TX 76060-2421 | 2006-11-01 |
| 1255704516 | Kennedale Family Dentistry& Orthodontics,pllc | Dentist | 201 W Kennedale Pkwy, Building5,suite512, Kennedale, TX 76060-2435 | 2015-11-09 |
| 1659837763 | Rainey Nicole Prater | Occupational Therapy Assistant | 202 Hillside Dr, Kennedale, TX 76060-2601 | 2019-02-13 |
| Find all providers in zip 76060 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140014 | Brenda Burford | Assisted Living Facility | 405 E Hondo Ave, Devine, TX 78016-3316 | 2020-09-25 |
| 1639782105 | Fredisolo Annointed Homes | Assisted Living Facility | 1400 Parkwood Trl, Mesquite, TX 75149-7604 | 2020-08-25 |
| 1518514850 | Czp Commercial Projects | Assisted Living Facility | 4414 Park Breeze Dr, Fresno, TX 77545-8605 | 2019-08-21 |
| 1083272603 | The Viera Senior Living | Assisted Living Facility | 3010 Airline Rd, Corpus Christi, TX 78414-3032 | 2019-05-29 |
| 1871082685 | Karla Hudson | Assisted Living Facility | 539 E Delz Dr, Houston, TX 77022-1703 | 2018-05-07 |
| 1427577444 | Thriving Hands Home Care | Assisted Living Facility | 3634 Colony Dr, San Antonio, TX 78230-3210 | 2017-09-11 |
| 1568987055 | Glatrick Annointed Hands of Care LLC | Assisted Living Facility | 14715 Foxbriar Ln, Frisco, TX 75035-1207 | 2017-08-07 |
| 1366991085 | Pinnacle Community Living | Assisted Living Facility | 243 Independence Spring Drive, Sherman, TX 75090-3335 | 2016-09-22 |
| 1447705579 | God Love Assisted Living Homes | Assisted Living Facility | 5623 W Harrow Dr, Houston, TX 77084-1869 | 2016-08-18 |
| 1790140861 | Milestone Personal Care Inc. | Assisted Living Facility | 10602 Chapel Hill Dr, Houston, TX 77099-3905 | 2015-12-16 |
| Find all providers with the same taxonomy | ||||
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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.