JESSICA DAWN ROUSSEAU (NPI# 1356807168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356807168 |
| Entity Type | Individual |
| Full Name | JESSICA DAWN ROUSSEAU |
| Credential | LMT |
| Practice Address |
202 Redwood Hwy Grants Pass OR 97527-5454 |
| Mailing Address |
1750 Redwood Ave Grants Pass OR 97527-6049 |
| Practice Telephone | 5419558877 |
| Mailing Telephone | 5416593595 |
| Enumeration Date | 2019-02-17 |
| Last Update Date | 2019-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 023526 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225405228 | Jessica Rousseau | Counselor | 1211 N 8th St, Kansas City, KS 66101-2129 | 2015-08-25 |
| 1659797629 | Jessica Rousseau | Nurse Practitioner | 5555 Edmondson Pike, Nashville, TN 37211 | 2014-03-13 |
| Street Address |
202 REDWOOD HWY |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023656659 | Wesley William Molsberry | Massage Therapist | 1051 Ne 6th St Ste B, Grants Pass, OR 97526-1190 | 2019-12-13 |
| 1780230698 | Beth Warren | Massage Therapist | 315 Se 7th St Ste B, Grants Pass, OR 97526-3002 | 2019-08-15 |
| 1740750991 | Mckenzie Lee Millette | Massage Therapist | 111 Sw H St # 8, Grants Pass, OR 97526-2505 | 2018-11-30 |
| 1235606229 | Anthony River Monize | Massage Therapist | 124 Nw D St, Grants Pass, OR 97526-2008 | 2018-10-28 |
| 1669957296 | Alix Michele Marmulstein | Massage Therapist | 220 Se H St Ste 5, Grants Pass, OR 97526-3025 | 2018-09-28 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1003311499 | Valerie Schlaht | Massage Therapist | 220 Se H St Ste 5b, Grants Pass, OR 97526-3025 | 2018-03-27 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1639608474 | Malialani Burton | Massage Therapist | 304 Ne Agness Ave, Grants Pass, OR 97526-7902 | 2017-06-06 |
| 1053853861 | Nikki Marie Boles | Massage Therapist | 220 Se H St, #5b, Grants Pass, OR 97526-3025 | 2016-11-10 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
Please comment or provide details below to improve the information on JESSICA DAWN ROUSSEAU.
| 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.