JESSICA LEE ECKSTEIN (NPI# 1629566039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629566039 |
| Entity Type | Individual |
| Full Name | JESSICA LEE ECKSTEIN |
| Credential | NP-C |
| Practice Address |
4805 Montgomery Rd Ste 154 Cincinnati OH 45212 |
| Mailing Address |
4805 Montgomery Rd Ste 154 Cincinnati OH 45212-2280 |
| Practice Telephone | 5135646644 |
| Mailing Telephone | 5135646644 |
| Mailing Fax Number | 5135646636 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.022435 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4805 MONTGOMERY RD STE 154 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013568930 | Kelly Diane Weber | Social Worker | Va Behavioral Health and Wellness Center, 4600 Smith Road, Norwood, OH 45212 | 2019-09-23 |
| 1578092847 | Kerry Ellen Ragland | Counselor | 2300 Wall Street, Cincinnati, OH 45212 | 2017-06-08 |
| 1912256454 | Helen Virginia Blackshire | Occupational Therapy Assistant | 4750 Wesley Avenue Suite J, Cincinnati, OH 45212 | 2012-08-30 |
| 1902154933 | Shelby Davis Lewis | Social Worker | 4750 Wesley Avenue, Suite J, Cincinnati, OH 45212 | 2012-08-23 |
| 1366727133 | Kelly Gray | Pharmacist | 4605 Montgomery Road, Norwood, OH 45212 | 2011-10-12 |
| 1588981351 | Stephen M Zitelli | Family Medicine | 1775 Lexington Ave, Cincinnati, OH 45212 | 2010-05-03 |
| 1699952416 | David William Barr | Marriage & Family Therapist | 4301 Smith Road, Cincinnati, OH 45212 | 2008-01-23 |
| 1780704718 | Douglas A Dix | Dentist | 5451 Montgomery Road, Cincinnati, OH 45212 | 2007-03-31 |
| 1376615104 | Orthopedic Diagnostic & Treatment Ctr Inc | Orthopaedic Surgery | 4600 Smith Road, Suite B, Norwood, OH 45212 | 2006-11-15 |
| 1003993510 | Bruce A Mrusek | Dentist | 5258 Montgomery Road, Norwood, OH 45212 | 2006-11-01 |
| Find all providers in zip 45212 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184681 | Madison Baxter | Nurse Practitioner | 2730 Hyde Park Ave, Cincinnati, OH 45209-2004 | 2020-11-06 |
| 1225635584 | Charlene Hines | Nurse Practitioner | 495 Albion Ave, Cincinnati, OH 45246-4604 | 2020-10-08 |
| 1770199598 | Ashley Nicole Dishion | Nurse Practitioner | 3537 Greenview Way, Cincinnati, OH 45245-3367 | 2020-09-17 |
| 1023624814 | Sarah Taylor Kaiser | Nurse Practitioner | 6401 Timberhill Ct, Cincinnati, OH 45233-4576 | 2020-09-17 |
| 1881204501 | Carrie Ann Mofield | Nurse Practitioner | 3680 Jeffrey Ct, Cincinnati, OH 45236-1544 | 2020-08-06 |
| 1104452051 | Nicole Lavon-renee Campbell | Nurse Practitioner | 1130 Glenna Dr, Cincinnati, OH 45238-4338 | 2020-03-22 |
| 1487289591 | Whitney Ann Gallaher | Nurse Practitioner | 4217 Tower Ave, Cincinnati, OH 45217-4521 | 2020-03-09 |
| 1215575436 | Carol S Grimm | Nurse Practitioner | 5702 Bridgetown Rd Apt 8, Street Address 2, Cincinnati, OH 45248 | 2019-12-18 |
| 1598301756 | Danielle Miller | Nurse Practitioner | 10229 Winstead Ln, Cincinnati, OH 45231-2719 | 2019-11-22 |
| 1679124820 | Jennifer Ann Fenwick | Nurse Practitioner | 7907 Buckeye Cres, Cincinnati, OH 45243-1942 | 2019-09-27 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45212 |
Please comment or provide details below to improve the information on JESSICA LEE ECKSTEIN.
| 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.