MRS. JESSICA JEAN FISHER (NPI# 1164654133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164654133 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA JEAN FISHER |
| Other Name | MISS JESSICA JEAN JURGENSEN |
| Credential | M.ED. |
| Practice Address |
530 E Riley Dr Avondale AZ 85323-2154 |
| Mailing Address |
12547 W Lisbon Ln El Mirage AZ 85335-3182 |
| Practice Telephone | 6239327147 |
| Practice Fax Number | 6239327156 |
| Mailing Telephone | 6023915653 |
| Mailing Fax Number | 6239327142 |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2009-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891256186 | Jessica Fisher | Physician Assistant | 4153 Meadow Wood Dr, El Dorado Hills, CA 95762-7525 | 2019-03-28 |
| 1174911564 | Jessica Fisher | Social Worker | 1301 Piccard Dr Ste 4100, Rockville, MD 20850-4320 | 2015-01-07 |
| 1457976474 | Jessica M Fisher | Pediatrics | 982185 Nebraska Medical Ctr, Omaha, NE 68198-2185 | 2020-06-15 |
| 1013540897 | Jessica Fisher | Speech-Language Pathologist | 12770 Coit Rd Ste 870, Dallas, TX 75251-1455 | 2020-02-19 |
| 1861041212 | Jessica Fisher | Nurse Practitioner | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2019-09-09 |
| 1710540950 | Jessica Marie Fisher | Nurse Practitioner | 11885 E 12 Mile Rd, Warren, MI 48093-3474 | 2019-04-14 |
| 1053872721 | Jessica C Fisher | Social Worker | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2019-03-26 |
| 1720556848 | Jessica Anna Fisher | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 509, Charleston, WV 25304-1226 | 2018-11-06 |
| 1528540325 | Jessica Rae Fisher | Behavioral Analyst | 1025 Atlantic Ave Ste 101, Alameda, CA 94501-1188 | 2018-08-29 |
| 1881188118 | Jessica Fisher | Counselor | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2018-06-20 |
| Street Address |
530 E RILEY DR |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336358795 | Agua Fria Union High School District | Local Education Agency (LEA) | 530 E Riley Dr, Avondale, AZ 85323-2154 | 2007-05-22 |
| 1467907618 | Michelle Fernandez | Student in an Organized Health Care Education/Training Program | 530 E Riley Dr, Avondale, AZ 85323-2154 | 2016-08-17 |
| 1497986798 | Marina Antunez | Licensed Practical Nurse | 530 E Riley Dr, Avondale, AZ 85323-2154 | 2009-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851541635 | Ilene M Thelen | Counselor | 11540 W Cottonwood Ln, Avondale, AZ 85392-4253 | 2008-09-29 |
| 1861578122 | Brenda Lawton-oliphant | Counselor | 1406 N Central, Avondale, AZ 85323 | 2006-10-30 |
| 1134374952 | Julie Anne Lynch | Counselor | 1252 S Avondale Blvd, 1252 S. Avondale Blvd., Avondale, AZ 85323-8900 | 2008-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215595707 | Danielle Payne | Counselor | 4145 E Montecito St, Tucson, AZ 85711-4734 | 2019-05-30 |
| 1780135533 | Eva Tomashefski | Counselor | 11011 N 92nd St, #1121, Scottsdale, AZ 85260-6137 | 2016-10-17 |
| 1275905754 | A & G Child Care Center LLC | Counselor | 537 E Racine Pl, Casa Grande, AZ 85122-1611 | 2015-10-23 |
| 1235547654 | Brian Prince | Counselor | 837 W Colter St, Apt. 51, Phoenix, AZ 85013-2269 | 2014-07-29 |
| 1750703682 | Amber Pedersen | Counselor | 1312 E Hale St, Mesa, AZ 85203-3818 | 2014-01-12 |
| 1023399227 | Sarah Joy Steele | Counselor | 7275 W Vineyard Rd, Laveen, AZ 85339-9805 | 2011-08-31 |
| 1255639902 | Sylvia Nockideneh-tee | Counselor | East Fir Street, Tuba City Junior High, Tuba City, AZ 86045 | 2011-03-04 |
| 1851600597 | Denisse Leon-uribe | Counselor | 3689 W Pageant Pl, Yuma, AZ 85364-3262 | 2010-09-29 |
| 1457689259 | Perla Nora Gonzalez | Counselor | 5832 W Ivanhoe St, Chandler, AZ 85226-1846 | 2009-12-07 |
| 1649508441 | Jennifer Palomares | Counselor | 8706 W Morten Ave, Glendale, AZ 85305-3945 | 2009-12-07 |
| 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.