JEMIMAH JOELLA GRACIA JURADO (NPI# 1790211753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790211753 |
| Entity Type | Individual |
| Full Name | JEMIMAH JOELLA GRACIA JURADO |
| Credential | NP |
| Practice Address |
759 Chestnut St Springfield MA 01107-1619 |
| Mailing Address |
280 Chestnut Street 2nd Floor Springfield MA 01199-1001 |
| Practice Telephone | 4137945370 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2018-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
RN2314916 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
759 CHESTNUT ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569828 | Diane L Dietzen | Internal Medicine | 759 Chestnut St, Springfield, MA 01199-1619 | 2005-06-22 |
| 1689274987 | Michele Lee Houghton | Registered Nurse | 759 Chestnut St, Springfield, MA 01199-1001 | 2020-10-27 |
| 1922612621 | Justine Trowbridge | Physician Assistant | 759 Chestnut St, Springfield, MA 01199-2225 | 2020-09-01 |
| 1316550221 | Vi Thuy Do | Registered Nurse | 759 Chestnut St, Springfield, MA 01199-1001 | 2020-08-29 |
| 1689282519 | Anum Fatima | Student in an Organized Health Care Education/Training Program | 759 Chestnut St, Springfield, MA 01199-0001 | 2020-07-16 |
| 1033737432 | Subahana Aboobucker | Student in an Organized Health Care Education/Training Program | 759 Chestnut St, Springfield, MA 01199-0001 | 2020-07-12 |
| 1083232003 | Yunika Burgos Depalma | Physician Assistant | 759 Chestnut St, Springfield, MA 01199-0001 | 2020-07-07 |
| 1437774858 | Yelisei Murauski | Physician Assistant | 759 Chestnut St, Springfield, MA 01107-1619 | 2020-06-11 |
| 1073138517 | Zaid Obaida | Student in an Organized Health Care Education/Training Program | 759 Chestnut St, Springfield, MA 01199-0001 | 2020-06-10 |
| 1265054886 | Rachel Christine Schmidt | Student in an Organized Health Care Education/Training Program | 759 Chestnut St, Springfield, MA 01199-0001 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629471008 | Krista Allison Kusinski | Nurse Practitioner | 759 Chestnut St # W2810, Springfield, MA 01107-1619 | 2014-09-30 |
| 1699330860 | Bruce Daniel Hastings | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2019-05-03 |
| 1275035594 | Sara M Zimmerman | Nurse Practitioner | 415 N 9th St, Springfield, IL 62702-5303 | 2018-03-02 |
| 1558720706 | Jeannie Marie Dodd | Nurse Practitioner | 759 Chestnut St, W2810, Springfield, MA 01199 | 2016-02-16 |
| 1144602087 | Ashley Chapman | Nurse Practitioner | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2015-06-28 |
| 1821482324 | Melissa Ruppel | Nurse Practitioner | 415 N 9th St, Susite 4w16, Springfield, IL 62702-5303 | 2015-03-23 |
| 1568867760 | Melinda B Whitelock | Nurse Practitioner | 415 N 9th St, Suite 4w16, Springfield, IL 62702-5303 | 2014-10-30 |
| 1942605142 | Melissa B Hinds | Nurse Practitioner | 415 N 9th St, Suite 4w16, Springfield, IL 62702-5303 | 2014-10-30 |
| 1467856914 | Keelan C. Dehart | Nurse Practitioner | 415 N 9th St, Suite 4w16, Springfield, IL 62702-5303 | 2014-10-13 |
| 1295169209 | Allyson R Hou | Nurse Practitioner | 759 Chestnut St, Springfield, MA 01199-1619 | 2013-08-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.