JESSICA ATKINSON


Address: 5414 S Broadway Ave, Tyler, TX 75703-1335
Phone: 9035811601

JESSICA ATKINSON (NPI# 1467829440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467829440
Entity Type Individual
Full Name JESSICA ATKINSON
Other Name JESSICA PICINICH
Credential PA
Practice Address 5414 S Broadway Ave
Tyler
TX 75703-1335
Mailing Address Po Box 841656
Dallas
TX 75284-1656
Practice Telephone 9035811601
Mailing Telephone 9035315000
Enumeration Date 2015-08-26
Last Update Date 2017-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 351895304 05
TX BCBS 8491NY 01
TX BCBS 8492NY 01
TX BCBS 8627NY 01
TX RAIL ROAD MEDICARE P01719711 01
TX TRICARE 75-2616977-041 01
TX TRICARE 75-0818167-015 01
TX BCBS 8493NY 01
TX TRICARE 75-0818167-044 01
TX TRICARE 75-0818167-048 01
TX TRICARE 75-1976930-005 01
TX TRICARE 75-2616977-002 01
TX TRICARE 75-2616977-028 01
TX 351895303 05
TX RAIL ROAD MEDICARE P01707527 01
TX RAIL ROAD MEDICARE P01719714 01
TX 351895305 05
TX 351895306 05
TX TRICARE 75-0818167-022 01

Other Providers JESSICA ATKINSON

NPI Name Taxonomy Address Enumeration
1003398769 Jessica Atkinson Occupational Therapy Assistant 6121 Montrose Rd, Rockville, MD 20852-4803 2018-08-29
1710473988 Jessica Atkinson Nurse Practitioner 195 Wadsworth Rd Ste 402, Wadsworth, OH 44281-9504 2018-07-10
1780979724 Jessica Lynn Atkinson Physical Therapy Assistant 1040 Pilgrim Way, Green Bay, WI 54304-5028 2011-06-17

Office Location

Street Address 5414 S BROADWAY AVE
City TYLER
State TX
Zip Code 75703-1335

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831189836 Joseph Pistone Emergency Medicine 5414 S Broadway Ave, Tyler, TX 75703-1335 2005-10-21
1013483361 Jeremy Michael Troyer Registered Nurse 5414 S Broadway Ave, Tyler, TX 75703-1335 2018-10-15
1770020778 Melinda Hill Nurse Practitioner 5414 S Broadway Ave, Tyler, TX 75703-1335 2017-01-27
1659768737 Jennifer Crayton Nurse Practitioner 5414 S Broadway Ave, Tyler, TX 75703-1335 2015-04-16
1609282664 Heidi C Lehnig Nurse Practitioner 5414 S Broadway Ave, Tyler, TX 75703 2014-07-10
1093153645 Michelle Parker Family Medicine 5414 S Broadway Ave, Tyler, TX 75703-1335 2013-06-05
1881997138 Alma Delia Cadena Physician Assistant 5414 S Broadway Ave, Tyler, TX 75703-1335 2010-12-08
1699928655 Kimeshia Nicole Johnson Nurse Practitioner 5414 S Broadway Ave, Tyler, TX 75703-1335 2008-11-03
1750547741 Maria Stanovic Karlson Nurse Practitioner 5414 S Broadway Ave, Tyler, TX 75703-1335 2008-07-30
1750549358 Wendy L Freden Physician Assistant 5414 S Broadway Ave, Tyler, TX 75703-1335 2008-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174155477 Choice Supportive Care Team Inc. Family Medicine 4293 Kinsey Drive, Tyler, TX 75703 2020-02-05
1770052532 Refinery Chiropractic LLC Chiropractor 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 2018-11-21
1215419353 Deidre Lynn Fergason Occupational Therapy Assistant 3505 Old Jacksonville Hwy, Tyler, TX 75703 2018-09-05
1710473681 Justin Taylor Ross Dentist 8938 S Broadway Ave Ste 380, Tyler, TX 75703 2018-07-03
1457843450 Adam Tyler Barnes, Dds of Texas II, Pllc Dentist 8938 South Broadway, Ste 480, Tyler, TX 75703 2018-06-05
1083106462 Integrity Health Internal Medicine 5605 Old Bullard Rd Ste B, Tyler, TX 75703 2018-06-01
1427572544 Cody Wayne Graham Pharmacist 5415 S. Broadway Ave., Tyler, TX 75703 2017-07-31
1750805941 Roger Bryan Chapman Nurse Practitioner 6115 New Copeland Rd, Tyler, TX 75703 2017-07-28
1427570084 Darah Lynne Dahlem Speech-Language Pathologist 401 E. Front Street Ste 123, Tyler, TX 75703 2017-07-14
1194267468 Herman Lester Hampton Jr. Surgery 5803 Regents Row, Tyler, TX 75703 2016-11-17
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033277884 Stephen Randall Hammock Physician Assistant 225 Bunker Dr, Tyler, TX 75703-8873 2006-12-05
1285687004 Luann Elizabeth Weber Physician Assistant 240 Willow St., Tyler, MN 56178-0240 2006-05-19
1831197342 Jean Rene Yates-halbert Physician Assistant 520 Douglas Blvd, Tyler, TX 75702-8307 2005-07-08
1902317498 Brittany Lauren Healey Physician Assistant 1367 Dominion Plz, Tyler, TX 75703-1013 2017-10-24
1891237962 William Elias Mirabal Physician Assistant 2608 Mcdonald Rd, Tyler, TX 75701-5934 2016-11-07
1518321066 Kathryn Thorkelson Physician Assistant 700 Olympic Plaza Cir Ste 407, Tyler, TX 75701-1952 2016-04-11
1942661756 Olivia Lane Urben Snodgrass Physician Assistant 700 Olympic Plaza Cir, Suite 510, Tyler, TX 75701-1951 2016-03-08
1053785568 Natalie Shea Williams Physician Assistant 1020 E Idel St, Tyler, TX 75701-2024 2015-11-20
1366849101 Elizabeth Cross Roe Physician Assistant 2017 Rickety Ln, Tyler, TX 75703-1706 2014-11-21
1760890693 Neal Alton Burgess Physician Assistant 700 Olympic Plaza Cir, Suite 700, Tyler, TX 75701-1951 2014-07-23
Find all providers in TYLER

Competitor

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City TYLER
Zip Code 75703

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Dataset Information

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.

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