DR. JESSICA TAYLOR (NPI# 1417386285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417386285 |
| Entity Type | Individual |
| Full Name | DR. JESSICA TAYLOR |
| Credential | PSY.D. |
| Practice Address |
120 Medical Park Dr Ste 401 Bridgeport WV 26330-9013 |
| Mailing Address |
6 Hospital Plz Clarksburg WV 26301-9316 |
| Practice Telephone | 3048482000 |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | WV | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512799 | Jessica Eve Taylor | Nurse Practitioner | 1013 University Blvd Ste 270, Suffolk, VA 23435-3900 | 2020-09-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1811513179 | Jessica Anne Taylor | Behavior Technician | 14340 Westminister Ln Apt 8, Woodbridge, VA 22193-2818 | 2020-06-23 |
| 1043870272 | Jessica Taylor | Optometrist | 351 Loucks Rd Ste B3, York, PA 17404-1782 | 2019-06-19 |
| 1801361324 | Jessica R Taylor | Counselor | 702 N Grand St # Po152, Enid, OK 73701-3221 | 2018-10-11 |
| 1932684370 | Jessica Marie Taylor | Specialist/Technologist | 18 Ebenezar Ln, Brewster, MA 02631-2802 | 2018-10-02 |
| 1992288138 | Jessica Suzanne Taylor | Home Health Aide | 421 Margaret St Apt 51, Pahrump, NV 89048-0858 | 2018-09-13 |
| 1437648615 | Jessica Bliss Taylor | Massage Therapist | 313 E Woodin Ave, Chelan, WA 98816 | 2018-05-03 |
| 1093210841 | Jessica V Taylor | Social Worker | 1420 Shepherd St Nw, Washington, DC 20011-5409 | 2018-03-26 |
| 1033625025 | Jessica Taylor | Registered Nurse | 44 W Center Ave, Lake Bluff, IL 60044-2408 | 2017-12-28 |
| Street Address |
120 MEDICAL PARK DR STE 401 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790330926 | Darrian N Randall | Counselor | 120 Medical Park Dr Ste 401, Bridgeport, WV 26330-9013 | 2019-08-05 |
| 1417469479 | Sarah Jane Hartman | Counselor | 120 Medical Park Dr Ste 401, Bridgeport, WV 26330-9013 | 2017-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1639674120 | Wesley Nilsson | Student in an Organized Health Care Education/Training Program | 267 Grant St Dept Of, Bridgeport, CT 06610-2805 | 2018-03-27 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
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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.