JESSICA E HARRISON, LCSW (NPI# 1194296418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194296418 |
Entity Type | Organization |
Organization Name | JESSICA E HARRISON, LCSW |
Practice Address |
900 E Indiantown Rd Ste 310 Jupiter FL 33477-5153 |
Mailing Address |
21000 Portofino Cir Apt 125 Palm Beach Gardens FL 33418-1262 |
Practice Telephone | 9546006695 |
Enumeration Date | 2018-12-14 |
Last Update Date | 2019-06-27 |
Authorized Official Name | MS. JESSICA EMILY HARRISON (PRESIDENT) |
Authorized Official Telephone | 9546006695 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 003790900 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518438852 | Jessica E Harrison, Lcsw | Clinic/Center | 900 East Indiantown Road, 310, Palm Beach Gardens, FL 33418 | 2018-12-16 |
Street Address |
900 E INDIANTOWN RD STE 310 |
City | JUPITER |
State | FL |
Zip Code | 33477-5153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528077104 | Cara L Koplan | Social Worker | 900 E Indiantown Rd Ste 310, Jupiter, FL 33477-5153 | 2006-08-05 |
1801120480 | Jessica Emily Harrison | Social Worker | 900 E Indiantown Rd Ste 310, Jupiter, FL 33477-5153 | 2009-09-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417576513 | Sanctuary Healthcare LLC | Home Health | 100 Front Street, Suite 300, Jupiter, FL 33477 | 2020-04-09 |
1538503669 | Aimee Bunyea | Pharmacist | 1118 11th Court, Jupiter, FL 33477 | 2013-04-19 |
1447592571 | Blue Water Doctors of Jupiter, LLC | Family Medicine | 2151 South Alternate A1a, Unit 650, Jupiter, FL 33477 | 2013-03-27 |
1477806115 | Brad D. Simons, Md,phd, Pa | Ophthalmology | 2141 Alternate A1a S, Suite 210, Jupiter, FL 33477 | 2012-10-18 |
1952688392 | Matthew J Harris | Orthopaedic Surgery | 108 Intracoastal Pointe Drive, Suite 300, Jupiter, FL 33477 | 2011-11-14 |
1366720682 | Physical Therapy Institute and Aquatic Rehab, Inc. | Physical Therapist | 17380 N Highway A1a Alternate, Suite 305, Jupiter, FL 33477 | 2011-08-03 |
1770714578 | Payal P Chokshi | Dentist | 759 Parkway Street, Suite# 103, Jupiter, FL 33477 | 2009-07-29 |
1205089174 | Priscilla J Zuckerberg | Speech-Language Pathologist | 110 Front St Ste 300, Jupiter, FL 33477 | 2008-10-23 |
1083866727 | Deanna Talmud | Social Worker | 2044 Staysail Lane, Jupiter, FL 33477 | 2008-10-14 |
1417123290 | Gayle Gerardi Pulice | Massage Therapist | 927 North A1a, Suite A105, Jupiter, FL 33477 | 2008-05-01 |
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Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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---|---|---|---|---|
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1083073399 | Healthy Living Physicians Services, LLC | Clinic/Center | 250 Thelma Ave, Jupiter, FL 33458-8091 | 2016-02-15 |
1225179450 | The Medical Group of South Florida Inc | Clinic/Center | 1094 Military Trl, Jupiter, FL 33458-7021 | 2007-02-09 |
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1932718509 | Coral Diagnostic Center Inc | Clinic/Center | 12002 Sw 128th Ct Ste 202, Miami, FL 33186-4643 | 2020-07-29 |
1902422215 | Andreu Health Care Therapy Corp | Clinic/Center | 175 Fontainebleau Blvd Ste 2g7, Miami, FL 33172-7012 | 2020-06-23 |
1306461447 | Elevate Medical Fort Myers, LLC | Clinic/Center | 1850 Boy Scout Dr Ste A102, Fort Myers, FL 33907-2127 | 2020-06-15 |
1629699889 | Comprehensive Cardiovascular Institute, Pllc | Clinic/Center | 17 Davis Blvd Ste 313, Tampa, FL 33606-3438 | 2020-04-29 |
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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.