DR. SHELLEY LEAH JESSUP (NPI# 1427241249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427241249 |
Entity Type | Individual |
Full Name | DR. SHELLEY LEAH JESSUP |
Credential | DPT |
Practice Address |
7141 Security Blvd Kaiser Permanente Woodlawn Medical Center Baltimore MD 21244-1811 |
Mailing Address |
2101 E Jefferson St Kaiser Permanente Medicare Enrollment Rockville MD 20852-4908 |
Practice Telephone | 4436636000 |
Mailing Telephone | 3018162424 |
Enumeration Date | 2007-08-24 |
Last Update Date | 2012-12-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
23560 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
7141 SECURITY BLVD KAISER PERMANENTE WOODLAWN MEDICAL CENTER |
City | BALTIMORE |
State | MD |
Zip Code | 21244-1811 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659363885 | Fiona F Meller-azrieli | Internal Medicine | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2005-08-15 |
1447898531 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2019-12-19 |
1104385301 | Kisha Mary Selby | Registered Nurse | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2019-03-18 |
1932631918 | Jennifer Taylor Ratta | Dietitian, Registered | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2017-03-30 |
1033578364 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | Clinic/Center | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2016-02-15 |
1376908020 | Renee Farmer | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2015-12-23 |
1144656521 | Dennis Artiga De Leon | Physical Therapist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2013-09-18 |
1629413901 | Alexandra Macleod Grimes | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2013-05-01 |
1528309051 | Howard Seto Gwon | Pharmacist | 7141 Security Blvd, Pharmacy, Baltimore, MD 21244-1811 | 2013-03-07 |
1255672853 | Karina Elaine Holland | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2013-03-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235748468 | Sinnai Behavioral Health Services Inc | Psychiatric Residential Treatment Facility | 3610 Milford Road, Third Floor, Baltimore, MD 21244 | 2020-07-23 |
1023655370 | Flourish Healthcare Solutions, LLC | Home Health Aide | 3517 Langrehr Road, Suite 106a, Windsor Hill, MD 21244 | 2019-12-05 |
1265078471 | Chika Cares Pre-diabetes Workshop LLC | Public Health or Welfare | St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 | 2019-11-22 |
1306318761 | Elana Rose Dorfman | Social Worker | 7205 Rutherford Road, Windsor Mill, MD 21244 | 2018-12-26 |
1235618406 | Stacy Solte Antonio | Physical Therapy Assistant | 7141 Security Blvd., Woodlawn, MD 21244 | 2018-08-08 |
1831675446 | Martha Marie Brown | Behavior Technician | 7901 Subet Rd, Windsor Mill, MD 21244 | 2018-07-17 |
1003306671 | Bk Faithful Enterprises Consulting, LLC | Dentist | 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 | 2018-05-18 |
1235640475 | Kingsley Awah | Home Health Aide | 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 | 2017-10-16 |
1316465917 | Elizabeth Duggan | Occupational Therapist | 7141 Security Blvd, Md 21244, Baltimore, MD 21244 | 2017-09-03 |
1326565052 | Latoya Womack | Registered Nurse | 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 | 2017-08-24 |
Find all providers in zip 21244 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619440203 | Daniel Moore Chapman | Physical Therapist | 3555 Newland Rd, Baltimore, MD 21218-2513 | 2019-01-07 |
1417323833 | Daniel Seubert | Physical Therapist | 8520 Drumwood Rd, Baltimore, MD 21286 | 2015-08-19 |
1326052515 | Ian West | Physical Therapist | 210 E Centre St, Baltimore, MD 21202-3619 | 2006-07-27 |
1750862835 | Zachary S Mitchell | Physical Therapist | 1420 Clarkview Rd, Baltimore, MD 21209-2104 | 2018-08-27 |
1851885768 | Simeon Lee Mellinger | Physical Therapist | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2018-06-15 |
1184179046 | Allan H Macht Pa | Physical Therapist | 575 S Charles St, Suite 201, Baltimore, MD 21201-2428 | 2016-08-22 |
1255886032 | David Anthony Reymann | Physical Therapist | 575 S Charles St, Suite 201, Baltimore, MD 21201-2428 | 2016-08-22 |
1659739761 | Miriam Higgins | Physical Therapist | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2016-02-03 |
1144606641 | Rebecca Manning | Physical Therapist | 2900 S Hanover St, Suite 102, Baltimore, MD 21225-1232 | 2015-08-06 |
1417136946 | Margaret Mary Cruse | Physical Therapist | 7850 Eastern Ave, Baltimore, MD 21224-2115 | 2007-11-01 |
Find all providers in BALTIMORE |
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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.