JESSIKA JEAN JAMGOCHIAN


Address: 333 Pine Ridge Blvd, Wausau, WI 54401-4187
Phone: 7158472021

JESSIKA JEAN JAMGOCHIAN (NPI# 1134607781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134607781
Entity Type Individual
Full Name JESSIKA JEAN JAMGOCHIAN
Other Name JESSIKA JEAN MARGERITE SPRINGER, BARBIER, RADTKE
Practice Address 333 Pine Ridge Blvd
Wausau
WI 54401-4187
Practice Telephone 7158472021
Mailing Telephone 7158472021
Enumeration Date 2018-08-04
Last Update Date 2018-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 8472-33 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 333 PINE RIDGE BLVD
City WAUSAU
State WI
Zip Code 54401-4187

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558363986 Aspirus Wausau Hospital, Inc General Acute Care Hospital 333 Pine Ridge Blvd, Wausau, WI 54401-4120 2005-08-15
1902415789 John Hupp II Registered Nurse 333 Pine Ridge Blvd, Wausau, WI 54401-4102 2020-07-28
1720600240 Jennifer Scharenbrock Physical Therapist 333 Pine Ridge Blvd, Wausau, WI 54401-4102 2020-05-07
1467009282 Anson Mcquigg Nurse Anesthetist, Certified Registered 333 Pine Ridge Blvd, Wausau, WI 54401-4102 2019-08-26
1447807086 Kelly Jonathon Douck Nurse Anesthetist, Certified Registered 333 Pine Ridge Blvd, Wausau, WI 54401-4102 2019-08-19
1699329102 Madeline Erickson Occupational Therapist 333 Pine Ridge Blvd, Wausau, WI 54401-4187 2019-08-01
1194384198 Emily Morgan Meyer Occupational Therapist 333 Pine Ridge Blvd, Wausau, WI 54401-4102 2019-06-12
1659937738 Breanna Zajichek Physician Assistant 333 Pine Ridge Blvd, Wausau, WI 54401-4102 2019-05-14
1336703677 Sophia Frances Andera-cato Physician Assistant 333 Pine Ridge Blvd, Wausau, WI 54401-4187 2019-04-23
1073096681 Beth Brinkman Occupational Therapist 333 Pine Ridge Blvd, Wausau, WI 54401-4102 2018-09-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164031464 Central Wisconsin Endodontic Specialists LLC Dentist 2606 Stewart Avenue, #102, Wausau, WI 54401 2020-07-23
1376161976 Family Foot and Ankle Clinic LLC Podiatrist 1901 Westwood Boulevard, Wausau, WI 54401 2020-07-09
1336701895 Amy Kluetz Counselor 3000 Westhill Drive, Suite 100, Wausau, WI 54401 2019-07-05
1437640877 Joseph T Fitz Student in an Organized Health Care Education/Training Program Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 2018-05-22
1699293241 Amanda Nedd Dietitian, Registered 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 2017-09-05
1396287447 Dee Cha Nurse Anesthetist, Certified Registered 4851 Rachel Ln Apt 5, Wausau, WI 54401 2016-11-07
1013389618 Grace Lutheran Foundation Inc Skilled Nursing Facility 2727 Plaza Dr., Wausau, WI 54401 2015-10-22
1881091163 Judy Lao Dental Hygienist 413 North 17th Avenue, Wausau, WI 54401 2014-12-02
1295012011 Allison Waraksa Pharmacist 504 S. 17th Ave, Wausau, WI 54401 2011-11-08
1881974053 Walgreen Co Durable Medical Equipment & Medical Supplies 504 S 17th Ave, Wausau, WI 54401 2011-08-19
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134265739 Russell W. Creel Nurse Practitioner 400 Westwood Dr, Wausau, WI 54401-7801 2007-01-30
1467068031 Carissa Marie Neuman Nurse Practitioner 510 N 17th Ave, Wausau, WI 54401-4200 2020-09-18
1518577261 Erica R Ciulla Nurse Practitioner 2720 Plaza Dr Ste 2100, Wausau, WI 54401-4157 2020-08-07
1740825926 Denise Darlene Mcmahan Nurse Practitioner 3605 Stewart Ave, Wausau, WI 54401-4938 2019-11-12
1750848370 Katie A Gilbert Nurse Practitioner 510 N 17th Ave Ste A, Wausau, WI 54401-4254 2019-03-01
1609340561 Lisa Marie Werner Nurse Practitioner 3300 Westhill Dr, Wausau, WI 54401-4710 2019-01-14
1265923098 Jennifer Dorothy Yurish Nurse Practitioner 3300 Westhill Dr, Wausau, WI 54401-4710 2018-05-29
1518471838 Sara Belle Starr Nurse Practitioner 425 Pine Ridge Blvd, Wausau, WI 54401-4123 2017-11-22
1134664121 Jennifer Young Nurse Practitioner 425 Pine Ridge Blvd, Wausau, WI 54401 2016-12-29
1548613581 Diane Mary Alber Nurse Practitioner 2727 Plaza Dr, Wausau, WI 54401-4129 2016-07-14
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City WAUSAU
Zip Code 54401

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Dataset Information

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.

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