JESSICA BASS (NPI# 1790189314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790189314 |
| Entity Type | Individual |
| Full Name | JESSICA BASS |
| Credential | LPN |
| Practice Address |
11 Pondview Dr Apt 4 East Patchogue NY 11772-6854 |
| Practice Telephone | 6316179523 |
| Mailing Telephone | 6316179523 |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 316007-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346753787 | Jessica Nicole Bass | Nurse Practitioner | 306 Burris Park Dr, Spring, TX 77373-8430 | 2017-11-08 |
| 1558612010 | Jessica Hart Bass | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2012-09-25 |
| 1356964654 | Jessica Bass | Case Manager/Care Coordinator | 42382 Deluxe Plz Ste 34, Hammond, LA 70403-1236 | 2020-05-20 |
| 1669962700 | Jessica Bass | Student in an Organized Health Care Education/Training Program | 350 7th St N, Naples, FL 34102-5754 | 2018-05-15 |
| 1033475892 | Jessica Louise Bass | Nurse Practitioner | 1900 27th St, Vero Beach, FL 32960-3383 | 2012-04-05 |
| 1659607182 | Jessica Erin Bass | Pharmacist | 601 College St, Clinton, NC 28328-3501 | 2009-10-17 |
| 1538395256 | Jessica J. Bass | Social Worker | 417 Liberty St, Springfield, MA 01104-3736 | 2009-06-09 |
| 1689712978 | Jessica Robinson Bass | Social Worker | 8801 Lipan St, Thornton, CO 80260-4912 | 2007-02-01 |
| 1164570560 | Jessica Bass | Counselor | 545 Estudillo Ave, San Leandro, CA 94577-4611 | 2007-01-08 |
| Street Address |
11 PONDVIEW DR APT 4 |
| City | EAST PATCHOGUE |
| State | NY |
| Zip Code | 11772-6854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656976 | Ann Tiffany Gregory | Licensed Practical Nurse | 134 Munsell Rd, East Patchogue, NY 11772-5646 | 2020-07-20 |
| 1619516754 | Beyzanur Demiroglu | Licensed Practical Nurse | 118 La Bonne Vie Dr Apt C, East Patchogue, NY 11772-4395 | 2020-01-06 |
| 1043860778 | Krista Romano | Licensed Practical Nurse | 455 Kane Ave, East Patchogue, NY 11772-4925 | 2019-09-14 |
| 1629549381 | Donna Marie Gresio | Licensed Practical Nurse | 353 Patchogue Yaphank Rd, East Patchogue, NY 11772-4826 | 2018-12-06 |
| 1326546623 | Jennifer Lynn Mabanta | Licensed Practical Nurse | 210 Swezey St, East Patchogue, NY 11772-5702 | 2018-02-01 |
| 1174058986 | Ivory Brame | Licensed Practical Nurse | 903 Montauk Hwy, East Patchogue, NY 11772-5438 | 2017-04-29 |
| 1700311511 | Jasmine Trent | Licensed Practical Nurse | 48 La Bonne Vie Dr Apt C, East Patchogue, NY 11772-4327 | 2017-04-29 |
| 1417495227 | Erin M Clancy | Licensed Practical Nurse | 24 W Masem Sq, East Patchogue, NY 11772-5620 | 2017-02-01 |
| 1992160931 | Andreea Saltu | Licensed Practical Nurse | 317 Robinson Ave Apt 6, East Patchogue, NY 11772-4827 | 2015-12-17 |
| 1710350947 | Rebecka Abigail Beckles | Licensed Practical Nurse | 4 David Way, East Patchogue, NY 11772-4598 | 2015-11-10 |
| Find all providers in EAST PATCHOGUE | ||||
| City | EAST PATCHOGUE |
| Zip Code | 11772 |
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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.