JESSICA CARR (NPI# 1366812794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366812794 |
| Entity Type | Individual |
| Full Name | JESSICA CARR |
| Credential | NP |
| Practice Address |
153 E Broadway Blvd Jefferson City TN 37760-2517 |
| Practice Telephone | 8654759969 |
| Practice Fax Number | 8654759901 |
| Mailing Telephone | 8654759969 |
| Mailing Fax Number | 8654759901 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2016-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 20449 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069009 | Jessica Raye Carr | Student in an Organized Health Care Education/Training Program | 6620 Via Del Oro Fl 2, San Jose, CA 95119-1392 | 2020-03-23 |
| 1225507528 | Jessica Lauren Cherry Carr | Nurse Practitioner | 909 Big Hollow Rd, Blountville, TN 37617-6122 | 2018-11-15 |
| 1578894028 | Jessica Lynn Carr | Licensed Practical Nurse | 2218 Burbank Rd, Wooster, OH 44691-2144 | 2010-01-22 |
| 1609419134 | Jessica Renae Carr | Nurse Practitioner | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2019-10-28 |
| 1770088270 | Jessica Carr | Speech-Language Pathologist | 10820 E 45th St Ste 101, Tulsa, OK 74146-3803 | 2018-03-27 |
| 1750894432 | Jessica Ann Carr | Student in an Organized Health Care Education/Training Program | 223 Kalamazoo St, East Lansing, MI 48824-5400 | 2017-11-16 |
| 1366803744 | Jessica Carr | Case Manager/Care Coordinator | 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 | 2016-03-14 |
| 1497110407 | Jessica Carr | Counselor | 622 Riverside Dr, Monroe, LA 71201-6211 | 2015-12-17 |
| 1871843466 | Jessica E Carr | Physician Assistant | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2012-09-11 |
| 1114208436 | Jessica Carr | Pharmacist | 3220 Halifax Rd, South Boston, VA 24592-4908 | 2011-08-31 |
| Street Address |
153 E BROADWAY BLVD |
| City | JEFFERSON CITY |
| State | TN |
| Zip Code | 37760-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336189158 | Express Health Clinic Corporation | Clinic/Center | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 | 2006-06-08 |
| 1972142685 | Whitney Nicole Bowen | Nurse Practitioner | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 | 2019-12-27 |
| 1538685557 | Amanda Michelle Rodgers | Nurse Practitioner | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 | 2017-08-22 |
| 1720536261 | Florence Harris | Nurse Practitioner | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 | 2016-09-13 |
| 1497202840 | Jessica Maze | Nurse Practitioner | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 | 2016-09-01 |
| 1326499971 | Denise Berry | Nurse Practitioner | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 | 2016-06-24 |
| 1598138992 | Brenda Badawi | Nurse Practitioner | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 | 2015-11-06 |
| 1699905133 | Giovanna Maria Stramiello | Nurse Practitioner | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 | 2009-07-17 |
| 1114112091 | Neil Edward Pressley | Nurse Practitioner | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 | 2007-09-13 |
| 1043364490 | Mountain Valley Rx 05 Inc | Durable Medical Equipment & Medical Supplies | 153 E Broadway Blvd, Ste 103, Jefferson City, TN 37760-2517 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| 1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| Find all providers in zip 37760 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629456355 | Sandra Brenner | Nurse Practitioner | 3308 W Edgewood Dr Ste B, Jefferson City, MO 65109-6891 | 2015-05-14 |
| 1366956963 | Molly J Omohundro | Nurse Practitioner | 3605 Country Club Dr, Jefferson City, MO 65109-1070 | 2017-11-20 |
| 1538685557 | Amanda Michelle Rodgers | Nurse Practitioner | 153 E Broadway Blvd, Jefferson City, TN 37760-2517 | 2017-08-22 |
| 1740720358 | Erin Briana Gerloff | Nurse Practitioner | 2511 W Edgewood Dr, Suite D, Jefferson City, MO 65109-5869 | 2017-03-01 |
| 1578921052 | Jalyn Nicole North | Nurse Practitioner | 999 Diamond Rdg, Jefferson City, MO 65109-6920 | 2016-01-29 |
| 1689031254 | Jillynn Rachele Hull | Nurse Practitioner | 2511 W Edgewood Dr, Suite G, Jefferson City, MO 65109-5869 | 2016-01-26 |
| 1699106286 | Radonna Wells | Nurse Practitioner | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2013-12-06 |
| 1811338767 | Amy Harrell | Nurse Practitioner | 1500 Southwest Blvd, Suite B, Jefferson City, MO 65109-2472 | 2013-07-08 |
| 1285974774 | Tricia D Temmen | Nurse Practitioner | 100 Saint Marys Plz, Jefferson City, MO 65101-1602 | 2013-02-21 |
| 1730461666 | Jacqueline S Zgiet | Nurse Practitioner | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2011-09-16 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
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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.