MRS. JESSICA R. PELUSO (NPI# 1548215403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548215403 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA R. PELUSO |
| Credential | PA-C |
| Practice Address |
601 Keyser Ave Natchitoches LA 71457-6020 |
| Mailing Address |
Po Box 2475 Natchitoches LA 71457-2475 |
| Practice Telephone | 3182145770 |
| Mailing Telephone | 3186636131 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 2004012769 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
A10533 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 313 Ledet Dr, Natchitoches, LA 71457 | 3186526675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794435 | Jessica Peluso | Counselor | 10475 Perry Hwy Ste 107, Wexford, PA 15090-9213 | 2019-11-13 |
| Street Address |
601 KEYSER AVE |
| City | NATCHITOCHES |
| State | LA |
| Zip Code | 71457-6020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067915 | Theodore Foster Jordan IIi | Orthopaedic Surgery | 601 Keyser Ave, Natchitoches, LA 71457-6020 | 2005-07-18 |
| 1144881459 | Nrmc Physician Ipa Inc | Urology | 601 Keyser Ave, Natchitoches, LA 71457-6020 | 2019-06-26 |
| 1669932778 | Nrmc Physician Ipa Inc | Internal Medicine | 601 Keyser Ave, Natchitoches, LA 71457-6020 | 2019-03-24 |
| 1346721651 | Nrmc Physician Ipa Inc | Orthopaedic Surgery | 601 Keyser Ave, Natchitoches, LA 71457-6020 | 2018-08-24 |
| 1790275279 | Nrmc Physician Ipa Inc | Internal Medicine | 601 Keyser Ave, Natchitoches, LA 71457-6020 | 2018-05-10 |
| 1699280123 | Nrmc Physician Ipa Inc | Otolaryngology | 601 Keyser Ave, Natchitoches, LA 71457-6020 | 2017-12-06 |
| 1003329871 | Darlinda Theresa Dove | Nurse Practitioner | 601 Keyser Ave, Natchitoches, LA 71457-6020 | 2017-11-14 |
| 1750810446 | Hannah Marie Dubois | Nurse Practitioner | 601 Keyser Ave, Natchitoches, LA 71457-6020 | 2017-06-07 |
| 1497283733 | Nrmc Physician Ipa Inc | Hospitalist | 601 Keyser Ave, Natchitoches, LA 71457-6020 | 2017-05-31 |
| 1669824215 | Oladele Oladiran | Pharmacist | 601 Keyser Ave, Natchitoches, LA 71457-6020 | 2016-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615848 | Special Crawford | Case Manager/Care Coordinator | 419 Wasington Ave, Mansfield, LA 71457 | 2019-05-21 |
| 1497232748 | Hand In Hand Hospice Care LLC | Hospice Care, Community Based | 135 East 5th Street, Natchitoches, LA 71457 | 2018-07-19 |
| 1851809214 | Latoya M Gray | Counselor | 132 Kelly St, Natchitoches, LA 71457 | 2018-01-18 |
| 1467968024 | Amanda K Cully | Case Manager/Care Coordinator | 200 Rapides Dr Ste A, Natchitoches, LA 71457 | 2017-12-19 |
| 1972021749 | Jessica Smith | Case Manager/Care Coordinator | 325 South Drive, Natchitoches, LA 71457 | 2017-08-31 |
| 1689190720 | Chartia Hurt | Counselor | 430 Dixie Plaza, Natchitoches, LA 71457 | 2017-08-21 |
| 1902331556 | Daima Atinkah | Specialist/Technologist | 468 Caspari Drive, Natchitoches, LA 71457 | 2017-04-20 |
| 1548794969 | Stephanie Sowell | Counselor | 120 Laird Fletcher Rd, Natchitoches, LA 71457 | 2017-04-12 |
| 1538692579 | Cynthia Harmon | Counselor | 1025 Hill Ave, Natchitoches, LA 71457 | 2017-04-06 |
| 1104365097 | Justin Dewayne Evans I | Counselor | 820 Gentry Davis, Natchitoches, LA 71457 | 2017-02-13 |
| Find all providers in zip 71457 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770735193 | Thomas William Coleman | Physician Assistant | 501 Keyser Ave, Natchitoches, LA 71457-6018 | 2008-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120307 | Olivia Hockenjos | Physician Assistant | 1000 Chinaberry Dr Ste 1200, Bossier City, LA 71111-2463 | 2020-10-01 |
| 1053928622 | Kennedy Poole | Physician Assistant | 1643 Carter St Ste 1, Vidalia, LA 71373-3157 | 2020-09-28 |
| 1699382176 | Morgan Prejean | Physician Assistant | 11445 Coursey Blvd Ste L, Baton Rouge, LA 70816-0411 | 2020-09-28 |
| 1972118776 | Emma W Bollich | Physician Assistant | 6703 Ambassador Caffery Pkwy Ste 2, Broussard, LA 70518-5283 | 2020-09-09 |
| 1316595937 | Antonia Colombo | Physician Assistant | 2705 Fable St, Meraux, LA 70075-2372 | 2019-08-27 |
| 1861058752 | Christina Daigle | Physician Assistant | 1057 Paul Maillard Rd Ste 2210, Luling, LA 70070-4349 | 2019-05-15 |
| 1376078022 | Brian Ammon | Physician Assistant | 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120 | 2017-05-01 |
| 1912448036 | Christy Stoltz | Physician Assistant | 120 N Pinaud St, Saint Martinville, LA 70582-4732 | 2017-03-09 |
| 1790228013 | Brian Keith Fontenot | Physician Assistant | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2016-11-18 |
| 1932658002 | Taylor Christensen Mahtook | Physician Assistant | 4650 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-6926 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
| City | NATCHITOCHES |
| Zip Code | 71457 |
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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.