JESSICA ELEASE ELAM (NPI# 1336783943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336783943 |
| Entity Type | Individual |
| Full Name | JESSICA ELEASE ELAM |
| Credential | CPS |
| Practice Address |
5450 Wissahickon Ave Apt B1139 Philadelphia PA 19144-5285 |
| Practice Telephone | 2674039448 |
| Mailing Telephone | 2674039448 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 11282 | PA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528317161 | Jessica Dawn Elam | Occupational Therapy Assistant | 900 Anson St, Salem, IN 47167-1982 | 2012-08-29 |
| Street Address |
5450 WISSAHICKON AVE APT B1139 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19144-5285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174053714 | Claudia Palacio | Social Worker | 85 East Logan St., Philadelphia, PA 19144 | 2017-06-15 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1114460276 | Richard Mitchell | Social Worker | 6327 Burbridge, Philadelphia, PA 19144 | 2016-11-22 |
| 1417399312 | Resources for Human Development | Community/Behavioral Health | 5536 Pulaski Avenue, Philadelphia, PA 19144 | 2013-07-22 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1982977179 | Hota Edward Liu | Dentist | 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 | 2012-02-17 |
| 1366724585 | Rasidah Campbell | Pharmacist | 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 | 2011-09-14 |
| 1326344755 | Lakeva Hamilton-killion | Case Management | 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 | 2011-02-02 |
| 1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
| 1235440785 | Faisal Javed | Internal Medicine | 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 | 2010-06-30 |
| Find all providers in zip 19144 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545379 | Antoine Johnson | Peer Specialist | 846 N 63rd St, Philadelphia, PA 19151-3443 | 2020-10-13 |
| 1932562790 | Maurice Peay | Peer Specialist | 2243 Simon St, Philadelphia, PA 19137-1311 | 2016-03-30 |
| 1689236739 | Jason Williams | Peer Specialist | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2019-06-28 |
| 1023670171 | Virginia Vitella | Peer Specialist | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2019-06-28 |
| 1225690373 | Jose Deleon Deleon | Peer Specialist | 1200 Callowhill St, Philadelphia, PA 19123-3658 | 2019-06-28 |
| 1134640014 | Sherrie Crane | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-06-30 |
| 1851832000 | Warren Shuler | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-03-20 |
| 1639610884 | Jennifer Desmond | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-03-20 |
| 1295276434 | James Gaither | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-03-20 |
| 1194266346 | Lolita Rogers | Peer Specialist | 112 N Broad St, Philadelphia, PA 19102-1512 | 2017-03-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19144 |
Please comment or provide details below to improve the information on JESSICA ELEASE ELAM.
| 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.