JESSICA B BARRA (NPI# 1114406519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114406519 |
| Entity Type | Individual |
| Full Name | JESSICA B BARRA |
| Other Name | JESSICA B CRIDER |
| Credential | FNP-C |
| Practice Address |
411 Borel Ave Ste 100 San Mateo CA 94402-3516 |
| Mailing Address |
8025 E Tuckey Ln Scottsdale AZ 85250-5651 |
| Practice Telephone | 7722174557 |
| Practice Fax Number | 8883527383 |
| Mailing Telephone | 4802541131 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
70 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN285115 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
44356 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
54965 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
819746 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60983710 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN-2727 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP11576 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1701 W Glendale Ave Ste 6, Phoenix, AZ 850219701 | 6022469090 | |
| 8655 E Via De Ventura Ste F125, Scottsdale, AZ 852583579 | 4806570304 | |
| 1003 Bishop St Ste 1600, Honolulu, HI 968136452 | 7722174557 | |
| 40 Technology Pkwy S Ste 300, Norcross, GA 300922924 | 7722174557 | |
| 300 Deschutes Way Sw Ste 208, Tumwater, WA 985017719 | 7722174557 | |
| 1821 Logan Ave, Cheyenne, WY 820015007 | 7722174557 | |
| 112 N Curry St, Carson City, NV 897034934 | 7722174557 | |
| 726 E Michigan Dr Ste 101, Hobbs, NM 882403467 | 7722174557 | |
| 1201 Hays St, Tallahassee, FL 323012699 | 7722174557 |
| Street Address |
411 BOREL AVE STE 100 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164896411 | Jennifer Morales | Nurse Practitioner | 411 Borel Ave Ste 100, San Mateo, CA 94402-3516 | 2015-11-24 |
| 1902380249 | Vanesa Abad | Registered Nurse | 411 Borel Ave Ste 100, San Mateo, CA 94402-3516 | 2018-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936892 | Zahiyah Hasan | Nurse Practitioner | 1518 Cobb St, San Mateo, CA 94401-3622 | 2019-11-13 |
| 1639692445 | Amy Fong | Nurse Practitioner | 117 N San Mateo Dr Ste 1, San Mateo, CA 94401-2708 | 2017-07-24 |
| 1164896411 | Jennifer Morales | Nurse Practitioner | 411 Borel Ave Ste 100, San Mateo, CA 94402-3516 | 2015-11-24 |
| 1124495247 | Michele Cronin | Nurse Practitioner | 1670 S Amphlett Blvd Ste 300, San Mateo, CA 94402-2534 | 2015-08-24 |
| 1013231422 | Marty Gail Rosier | Nurse Practitioner | 2000 Alameda De Las Pulgas Ste 210, San Mateo, CA 94403-1293 | 2010-03-15 |
| 1871661207 | Allison Virginia Bunch | Nurse Practitioner | 50 S San Mateo Dr Ste 360, San Mateo, CA 94401 | 2006-12-01 |
| 1942833066 | Heather Paul | Nurse Practitioner | 66 Bovet Rd Ste 105, San Mateo, CA 94402-3126 | 2020-02-17 |
| 1609416593 | Rachel Brinitzer | Nurse Practitioner | 1900 Ofarrell St Ste 190, San Mateo, CA 94403-1372 | 2020-01-08 |
| 1518507409 | Joseph Krezanoski | Nurse Practitioner | 1900 Ofarrell St Ste 190, San Mateo, CA 94403-1372 | 2020-01-08 |
| 1417509167 | Alison L. Sloan | Nurse Practitioner | 101 S San Mateo Dr Ste 311, San Mateo, CA 94401-3844 | 2019-07-12 |
| Find all providers in SAN MATEO | ||||
Please comment or provide details below to improve the information on JESSICA B BARRA.
| 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.