MRS. JESSICA LYNN PEDERSON (NPI# 1679107973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679107973 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA LYNN PEDERSON |
| Other Name | MRS. JESSICA LYNN HO |
| Practice Address |
160 Clairemont Ave Ste 625 Decatur GA 30030-2541 |
| Mailing Address |
1055 E Colorado Blvd Ste 560 Pasadena CA 91106-2380 |
| Practice Telephone | 6789545721 |
| Mailing Telephone | 8182416780 |
| Mailing Fax Number | 8182416853 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487926275 | Jessica Marie Pederson | Social Worker | 15 Ilahee Ln Ste 150, Chico, CA 95973-7205 | 2012-02-08 |
| 1528500394 | Jessica Marie Pederson | Counselor | 2025 E Aztec Ave, Gallup, NM 87301-4803 | 2016-11-10 |
| 1750543278 | Jessica Elizabeth Pederson | Speech-Language Pathologist | 123 West Mile 3 Road, Suite A-103, Palmhurst, TX 78573 | 2008-06-26 |
| Street Address |
160 CLAIREMONT AVE STE 625 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871908418 | Victoria Cox | Behavioral Analyst | 160 Clairemont Ave Ste 625, Decatur, GA 30030-2541 | 2014-06-23 |
| 1518565548 | Avery Claire Pope | Behavior Technician | 160 Clairemont Ave Ste 625, Decatur, GA 30030-2541 | 2020-10-12 |
| 1902419013 | Logan Sheffield | Behavior Technician | 160 Clairemont Ave Ste 625, Decatur, GA 30030-2541 | 2020-08-28 |
| 1225656317 | Madeline Guerin Drives | Behavior Technician | 160 Clairemont Ave Ste 625, Decatur, GA 30030-2541 | 2020-07-06 |
| 1689290959 | Shereeka Cole | Behavior Technician | 160 Clairemont Ave Ste 625, Decatur, GA 30030-2541 | 2020-06-22 |
| 1316563687 | Nyla Simmons | Behavior Technician | 160 Clairemont Ave Ste 625, Decatur, GA 30030-2541 | 2020-06-22 |
| 1831714898 | Juanae Bailey | Behavior Technician | 160 Clairemont Ave Ste 625, Decatur, GA 30030-2541 | 2020-06-15 |
| 1669096145 | Ja'nay Amour Perry | Behavior Technician | 160 Clairemont Ave Ste 625, Decatur, GA 30030-2541 | 2020-06-01 |
| 1275168361 | Erica Parham | Behavioral Analyst | 160 Clairemont Ave Ste 625, Decatur, GA 30030-2541 | 2020-03-09 |
| 1598390692 | Kelsey Murrell | Behavioral Analyst | 160 Clairemont Ave Ste 625, Decatur, GA 30030-2541 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295240588 | Eric Todd Smith | Technician/Technologist | 1103 16th Ave Se, Decatur, AL 35601-3595 | 2017-12-07 |
| 1962684480 | Ray Vincent Reil | Technician/Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849809 | Jalyn Calloway | Technician/Technologist | 3655 Howell Ferry Rd Ste 400, Duluth, GA 30096-3186 | 2020-10-25 |
| 1003423153 | Rochelle Wyche | Technician/Technologist | 4920 Roswell Rd Ste 1, Atlanta, GA 30342-2684 | 2020-09-23 |
| 1952925869 | Carolyn White | Technician/Technologist | 2147 Silver Thorn Ct, Lithonia, GA 30058-3585 | 2020-06-05 |
| 1760004584 | Kevin John Weiner | Technician/Technologist | 3301 Buckeye Rd Ste 700, Atlanta, GA 30341-4236 | 2020-05-14 |
| 1568082535 | Shemeka Brownlee | Technician/Technologist | 2773 Spirit Creek Rd, Hephzibah, GA 30815-5985 | 2020-04-20 |
| 1558864710 | Michelle Osborne | Technician/Technologist | 1520 E Water St, Bainbridge, GA 39817-4262 | 2018-03-14 |
| 1376059865 | Lachaun Serena Harper | Technician/Technologist | 5825 Glenridge Dr Ste 101, Atlanta, GA 30328-5387 | 2017-12-19 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1437465614 | Jay Hanson Wruck | Technician/Technologist | 4318 Edgewater Dr Nw, Kennesaw, GA 30144-5170 | 2010-08-25 |
| 1801052311 | Kwan Ha Lee | Technician/Technologist | 2442 Pleasant Hill Road, Suite 4, Duluth, GA 30096-1700 | 2008-08-04 |
| Find all providers with the same taxonomy | ||||
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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.