MS. JESSICA MARIE BUSHMAN (NPI# 1730365859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730365859 |
| Entity Type | Individual |
| Full Name | MS. JESSICA MARIE BUSHMAN |
| Credential | L.M.P. |
| Practice Address |
206 N Randolph St Suite 426 Champaign IL 61820-3949 |
| Practice Telephone | 2178190023 |
| Mailing Telephone | 2178190023 |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2015-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227010013 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285977363 | Jessica Bushman | Behavioral Analyst | 3680 S Cedar St Ste A, Tacoma, WA 98409-5728 | 2013-03-27 |
| Street Address |
206 N RANDOLPH ST SUITE 426 |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-3949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710420955 | Lauren Senoff, Lcsw Sc | Community/Behavioral Health | 206 N Randolph St, 9, Champaign, IL 61820-3949 | 2016-11-21 |
| 1679935969 | Lauren D. Senoff, Lcsw | Community Health Worker | 206 N Randolph St, Suite 9, Champaign, IL 61820-3949 | 2016-03-24 |
| 1699188946 | Terri Medwed | Counselor | 206 N Randolph St, Suite M106, Champaign, IL 61820-3949 | 2014-06-04 |
| 1346589231 | Michael Shmikler Counseling LLC | Counselor | 206 N Randolph St, Suite 510, Champaign, IL 61820-3949 | 2013-02-12 |
| 1912266297 | Bryan Manion, Life Coach | Counselor | 206 N Randolph St, Champaign, IL 61820-3949 | 2012-05-08 |
| 1881920361 | Ebbe's Professional Counseling Services | Community/Behavioral Health | 206 N Randolph St, 405, Champaign, IL 61820-3949 | 2009-10-19 |
| 1477717775 | Eunice Marie Bucknerboone | Counselor | 206 N Randolph St, Suite 405, Champaign, IL 61820-3949 | 2008-07-15 |
| 1306967823 | Barbara Autrey Blaylock | Psychologist | 206 N Randolph St, Suite 3, Champaign, IL 61820-3949 | 2007-04-02 |
| 1740322031 | Pamela Kae Soper | Social Worker | 206 N Randolph St, Suite 404, Champaign, IL 61820-3949 | 2007-02-13 |
| 1851451272 | Ann Lucia Chan | Counselor | 206 N Randolph St, Suite 420, Champaign, IL 61820-3949 | 2006-12-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
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| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750905881 | Douglas Nelson | Massage Therapist | 407 E Windsor Rd, Champaign, IL 61820-7722 | 2020-06-04 |
| 1316560758 | Jennifer Larkin Crozier | Massage Therapist | 44 E Main St Ste 102, Champaign, IL 61820-3649 | 2020-05-20 |
| 1124530282 | Susan Michele Ray | Massage Therapist | 2106 W Springfield Ave Ste E, Champaign, IL 61821-2979 | 2017-10-30 |
| 1841460599 | Andrea Kristen Munds | Massage Therapist | 306 S Rising Rd, Champaign, IL 61822 | 2008-03-10 |
| 1730788019 | Eric Beckley | Massage Therapist | 407 E Windsor Rd, Champaign, IL 61820-7722 | 2020-10-19 |
| 1902424955 | Ashley Gaytan | Massage Therapist | 2906 Crossing Ct, Champaign, IL 61822-6163 | 2020-07-07 |
| 1124437694 | Daniel Noice | Massage Therapist | 2906 Crossing Ct, Champaign, IL 61822-6163 | 2014-08-08 |
| 1093020059 | Michelle Annette Morneau | Massage Therapist | 209 W University Ave, Champaign, IL 61820-3966 | 2010-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
| 1497354104 | Lola Sanders | Massage Therapist | 844 Wilshire Dr, Belleville, IL 62223-2623 | 2020-10-22 |
| 1003415001 | Amanda L Klimczak | Massage Therapist | 1231 Ridgeland Ave, Berwyn, IL 60402-1142 | 2020-10-21 |
| 1093314148 | Jody Lee Hazel | Massage Therapist | 1750 E Colborn Camp Ln, Noble, IL 62868-2348 | 2020-10-20 |
| 1194323352 | Vanina Barnett | Massage Therapist | 112 Sussex Cir, Schaumburg, IL 60193-1835 | 2020-10-10 |
| 1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
| 1407463029 | Danielle Wright | Massage Therapist | 132 S Water St Ste 430, Decatur, IL 62523-2305 | 2020-09-28 |
| 1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
| 1780291872 | Jennifer Marshall | Massage Therapist | 6920 W 110th St, Worth, IL 60482-1425 | 2020-09-23 |
| 1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
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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.