JESSICA KISZKA (NPI# 1336554898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336554898 |
| Entity Type | Individual |
| Full Name | JESSICA KISZKA |
| Credential | AGACNP-BC |
| Practice Address |
9104 Columbia Ave Munster IN 46321-2907 |
| Practice Telephone | 2198364473 |
| Mailing Telephone | 2193066602 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 209011602 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
71005664A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9104 COLUMBIA AVE |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104082445 | Pratik Patel | Internal Medicine | 9104 Columbia Ave, Munster, IN 46321-2907 | 2008-08-06 |
| 1811545338 | Mary Vath | Registered Nurse | 9104 Columbia Ave, Munster, IN 46321-2907 | 2019-08-28 |
| 1477973964 | Sean P Swearingen | Internal Medicine | 9104 Columbia Ave, Munster, IN 46321-2907 | 2014-04-23 |
| 1467740894 | Omar Husseini | Internal Medicine | 9104 Columbia Ave, Munster, IN 46321 | 2011-07-19 |
| 1801022124 | Sarah Alexander | Internal Medicine | 9104 Columbia Ave, Munster, IN 46321-2907 | 2009-06-01 |
| 1982839650 | Sulman M Hussain | Internal Medicine | 9104 Columbia Ave, Munster, IN 46321-2907 | 2009-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567249 | Sarah E Munson | Nurse Practitioner | 1633 N Capitol Ave Ste 680, Indianapolis, IN 46202-1281 | 2020-08-06 |
| 1598327009 | Jack Chitenje | Nurse Practitioner | 13914 Boulder Canyon Dr, Fishers, IN 46038-5361 | 2019-07-03 |
| 1750844890 | Sarah Kathleen Cherry | Nurse Practitioner | 4326 Maldenhair Dr, Indianapolis, IN 46239-9033 | 2019-04-06 |
| 1861966533 | Ethan Jevon Merkel | Nurse Practitioner | 721 W 13th St Ste 221, Jasper, IN 47546-1817 | 2019-01-16 |
| 1184103459 | Katherine Rose Ahaus | Nurse Practitioner | 1801 Senate Blvd Ste 230, Indianapolis, IN 46202-1252 | 2018-08-08 |
| 1205342235 | Outpatient Integrated Strategies, LLC | Nurse Practitioner | 12315 Hancock St Ste 24, Carmel, IN 46032-5885 | 2017-12-28 |
| 1508389990 | Healthy Body LLC | Nurse Practitioner | 2515 Ladue Ln, Fort Wayne, IN 46804-2796 | 2017-07-18 |
| 1821539818 | Heather Hedgepeth | Nurse Practitioner | 1850 State St Fl 1, New Albany, IN 47150-4990 | 2017-03-10 |
| 1386197770 | Masita Isabel Poray | Nurse Practitioner | 5435 E 16th St Ste 500, Indianapolis, IN 46218-4869 | 2016-08-02 |
| 1578978011 | Ta'mella Ferron | Nurse Practitioner | 7143 Morello Ln, Noblesville, IN 46062-8438 | 2014-06-24 |
| 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.