JESSICA M MACK (NPI# 1104859941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104859941 |
| Entity Type | Individual |
| Full Name | JESSICA M MACK |
| Credential | PT |
| Practice Address |
1971 Western Ave Albany NY 12203-5066 |
| Practice Telephone | 5188696220 |
| Mailing Telephone | 5188696220 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 024450-1 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994097 | Jessica Leigh Mack | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-10-27 |
| 1093296113 | Jessica Christina Mack | Nursing Care | 8610 N New Braunfels Ave Ste 405, San Antonio, TX 78217-6358 | 2018-08-27 |
| 1912498205 | Jessica Reynolds Mack | Peer Specialist | 6 Adams St, Kingston, NY 12401-6012 | 2018-05-23 |
| 1821386426 | Jessica Nicole Mack | Counselor | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2011-07-16 |
| 1144544784 | Jessica Lee Mack | Physical Medicine & Rehabilitation | 1671 Crooked Oak Drive, Lancaster, PA 17601 | 2010-03-25 |
| 1083948459 | Jessica V Mack | Behavioral Analyst | 205 2nd Ave, Apt. 4e, Belmar, NJ 07719-2070 | 2009-10-01 |
| 1710172770 | Jessica Mack | Advanced Practice Midwife | 1025 Morehead Medical Dr, Suite 400, Charlotte, NC 28204-2963 | 2007-09-12 |
| 1598972044 | Jessica Denise Mack | Dietitian, Registered | 705 Dallas Hwy, Villa Rica, GA 30180-1247 | 2007-05-16 |
| Street Address |
1971 WESTERN AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942282728 | John V Murphy | Specialist | 1971 Western Ave, Albany, NY 12203-5066 | 2005-11-16 |
| 1902309297 | Alexander Ventre | Physical Therapist | 1971 Western Ave, Albany, NY 12203-5066 | 2018-03-13 |
| 1528443793 | Sara Anne Breault | Physician Assistant | 1971 Western Ave, Albany, NY 12203-5066 | 2015-07-29 |
| 1841677739 | Kayla Gawrys | Physical Therapist | 1971 Western Ave, Albany, NY 12203-5066 | 2015-04-30 |
| 1750717484 | Adrianna Piccone | Physician Assistant | 1971 Western Ave, Albany, NY 12203-5066 | 2013-09-26 |
| 1295090702 | Deborah Coester | Physical Therapy Assistant | 1971 Western Ave, 2nd Floor, Albany, NY 12203-5066 | 2012-07-10 |
| 1568720373 | Nicholas Sanzo | Physical Therapy Assistant | 1971 Western Ave, 2nd Floor, Albany, NY 12203-5066 | 2012-04-30 |
| 1962794800 | Christopher Paul Denio | Physical Therapist | 1971 Western Ave, Suite 11, Albany, NY 12203-5066 | 2011-05-11 |
| 1083914220 | American Current Care Pa PC | Clinic/Center | 1971 Western Ave, Albany, NY 12203-5066 | 2010-10-21 |
| 1275833410 | Occupational Health Centers of New York Pa PC | Clinic/Center | 1971 Western Ave, Albany, NY 12203-5066 | 2010-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114428141 | Johnae Patrice Galloway | Specialist | 600 New Scotland Ave, Albany, NY 12208-1928 | 2018-02-25 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1457703217 | Rebecca Burke | Specialist | 113 Krumkill Rd, Albany, NY 12208-1249 | 2016-07-05 |
| 1639535933 | Emily Soule | Specialist | 687 Myrtle Ave, Apt 1, Albany, NY 12208-3711 | 2016-01-04 |
| 1891163903 | Anca Rabinowitz | Specialist | 22a Old Hickory Dr, Apt.2a, Albany, NY 12204-1137 | 2015-09-04 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1548651706 | Katrina Reittinger | Specialist | 50 Phillip St, Albany, NY 12207 | 2015-02-10 |
| 1700226792 | Jeffrey Sansobrino | Specialist | 1 Rapp Rd # 1, Albany, NY 12203-4491 | 2013-07-05 |
| 1306186739 | Kate Ireland Panza | Specialist | 29 Krug Ct, Albany, NY 12211-1914 | 2013-02-21 |
| 1992045470 | Maryjo Aidala | Specialist | 1658 Central Ave, Albany, NY 12205-4029 | 2013-02-21 |
| Find all providers in ALBANY | ||||
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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.