JESSICA DEMAREST WHARTON (NPI# 1104212653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104212653 |
| Entity Type | Individual |
| Full Name | JESSICA DEMAREST WHARTON |
| Credential | M.D. |
| Practice Address |
719 Thompson Ln Ste 30330 Nashville TN 37204-4701 |
| Mailing Address |
Vanderbilt Childrens Hospital 2200 Childrens Way 8161 Doctors Office Tower Nashville TN 37232-9760 |
| Practice Telephone | 6153223000 |
| Mailing Telephone | 6159362555 |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
60895 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Vanderbilt Childrens Hospital 2200 Childrens Way, 8161 Doctors Office Tower, Nashville, TN 372329760 | 6159362555 | |
| 3601 The Vanderbilt Clinic, Nashville, TN 372329760 | 6153223000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710471941 | Jessica Brooke Wharton | Dentist | 100 Continental Dr, Elizabethtown, PA 17022-2260 | 2018-06-20 |
| 1619460169 | Jessica Wharton | Behavior Technician | 1729 W Greentree Dr Ste 103, Tempe, AZ 85284-2712 | 2018-06-10 |
| 1750789293 | Jessica Wharton | Marriage & Family Therapist | 1990 3rd St, Suite 900, Sacramento, CA 95811-6929 | 2014-12-16 |
| Street Address |
719 THOMPSON LN STE 30330 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37204-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922048321 | Wendi R. Mason | Nurse Practitioner | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2006-06-07 |
| 1134766975 | Charina J Pelayo | Nurse Anesthetist, Certified Registered | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2019-11-27 |
| 1265085237 | Stacey Moore | Social Worker | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2019-07-18 |
| 1205344009 | Redor Nuri Abdullah | Nurse Practitioner | 719 Thompson Ln Ste 30330, Nashville, TN 37204 | 2018-01-14 |
| 1316454820 | Shelby Sanford Woltjen | Nurse Anesthetist, Certified Registered | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2018-01-05 |
| 1265954911 | Mary Elizabeth Wood | Psychologist | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2017-07-14 |
| 1902255367 | Alexander H De Castro-abeger | Internal Medicine | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2016-06-07 |
| 1639527559 | Sylvia C Hagberg-fitch | Nurse Practitioner | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2016-06-01 |
| 1285019091 | Carlos Alberto Plancarte | Pediatrics | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2015-07-22 |
| 1750761516 | Stuart Abel | Surgery | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2015-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304893 | Results-ast Jv, LLC | Physical Therapist | 2659 8th Avenue South, Nashville, TN 37204 | 2020-10-21 |
| 1811516933 | Kinsley Ojukwu | Student in an Organized Health Care Education/Training Program | Oho Primary Care North, 719 Thompson Ln Suite 20400, Nashville, TN 37204 | 2020-04-09 |
| 1649777350 | Ian Bentley | Student in an Organized Health Care Education/Training Program | 719 Thompson Lane, Pod B, Nashville, TN 37204 | 2018-04-09 |
| 1134622160 | Joshua Shane Carty | Student in an Organized Health Care Education/Training Program | 719 Thompson Ln Pod A, Nashville, TN 37204 | 2018-03-15 |
| 1205340197 | Cam LLC | Chiropractor | 2694 Fessey Ct., Nashville, TN 37204 | 2017-11-30 |
| 1679097141 | Lacey Cross | Nurse Practitioner | 2694 Fessey Court, Nashville, TN 37204 | 2017-07-27 |
| 1346763042 | Lucy Elaine Davidson | Counselor | 416 East Iris Dr., Nashville, TN 37204 | 2017-07-25 |
| 1316468358 | Jasmine Kennedy Jester | Counselor | 717 Hart Lane, Nashville, TN 37204 | 2017-06-29 |
| 1447789649 | Jessica Ramey | Counselor | 4623 Trousdale Drive, Nashville, TN 37204 | 2017-06-09 |
| 1023555893 | Anna Claire Lowder | Marriage & Family Therapist | 701 Bradford Avenue, Nashville, TN 37204 | 2017-01-31 |
| Find all providers in zip 37204 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699160515 | Eric Andrew Armour | Psychiatry & Neurology | 2220 Pierce Ave # B-1053, Nashville, TN 37232-1559 | 2015-03-30 |
| 1366599250 | Robert Carson | Psychiatry & Neurology | A0118 Mcn, 1161 21st Avenue South, Nashville, TN 37232-0001 | 2007-01-04 |
| 1659482305 | James Alan Fry | Psychiatry & Neurology | 1916 Patterson St # 104, Nashville, TN 37203-2120 | 2006-08-31 |
| 1619269800 | Whitney Boon | Psychiatry & Neurology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2011-05-06 |
| 1154611523 | Ngochanh Hung Vu | Psychiatry & Neurology | 2200 Children's Way, Nashville, TN 37232 | 2011-04-19 |
| 1326364605 | Shilpa Bokka Reddy | Psychiatry & Neurology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2010-04-12 |
| 1700029261 | Lindsay Pagano | Psychiatry & Neurology | 209 Light Hl, Nashville, TN 37232-0001 | 2009-04-14 |
| 1154527760 | Jennifer Ann Brault | Psychiatry & Neurology | 3601 Tvc, Nashville, TN 37232-0001 | 2007-06-21 |
| 1265579338 | William Bryan Burnette | Psychiatry & Neurology | 3601 The Vanderbilt Clinic, Nashville, TN 37232 | 2007-01-30 |
| 1013064906 | Kaitlin James | Psychiatry & Neurology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2007-01-04 |
| Find all providers in NASHVILLE | ||||
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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.