JESSICA LACAYO (NPI# 1326460817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326460817 |
| Entity Type | Individual |
| Full Name | JESSICA LACAYO |
| Credential | FNP-BC |
| Practice Address |
3350 Worthington Boulevard Urbana MD 21704 |
| Mailing Address |
4636 Ripley Manor Ter Olney MD 20832-1865 |
| Practice Telephone | 2406990018 |
| Mailing Telephone | 3018011949 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R194464 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808191 | Jessica Denise Lacayo | Behavior Technician | 21600 Oxnard St Ste 1030, Woodland Hills, CA 91367-5085 | 2020-10-10 |
| Street Address |
3350 WORTHINGTON BOULEVARD |
| City | URBANA |
| State | MD |
| Zip Code | 21704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
| 1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
| 1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
| 1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
| 1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| 1184817512 | Frederick Medical & Pulmonary Assoc | Specialist | 7115 Guilford Drive #202, Frederick, MD 21704 | 2007-08-20 |
| Find all providers in zip 21704 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674959 | Lindsey Carol Ross | Nurse Practitioner | 802 E Pennsylvania Ave, Urbana, IL 61801-5237 | 2020-09-21 |
| 1376153825 | Kate Priya Srikant | Nurse Practitioner | 2202 Combes St, Urbana, IL 61801-6812 | 2020-08-08 |
| 1881048304 | Rachel Thurneyssen | Nurse Practitioner | 904 Scioto St Fl 2, Urbana, OH 43078-2226 | 2016-04-21 |
| 1881003424 | Hillary Diane Pullins | Nurse Practitioner | 900 Scioto St Ste 4, Urbana, OH 43078-2251 | 2014-08-07 |
| 1932512142 | Amanda Myers | Nurse Practitioner | 204 Patrick Avenue, Urbana, OH 43078 | 2014-06-05 |
| 1598015034 | Susanna Chow Young | Nurse Practitioner | 3350 Worthington Blvd, Urbana, MD 21704-7025 | 2012-09-12 |
| 1477512143 | Linda Marie Cox | Nurse Practitioner | Carle Clinic, 602 W. University Ave., Urbana, IL 61801 | 2006-03-21 |
| 1235749805 | Hayley Justice | Nurse Practitioner | 204 Patrick Ave, Urbana, OH 43078-2302 | 2020-08-07 |
| 1649893389 | Brookann O'dell | Nurse Practitioner | 611 W Park St, Urbana, IL 61801-2529 | 2020-05-27 |
| 1578112553 | Marianne M Kopmann | Nurse Practitioner | 611 W Park St, Urbana, IL 61801-2529 | 2019-09-11 |
| Find all providers in URBANA | ||||
Please comment or provide details below to improve the information on JESSICA LACAYO.
| 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.