DR. JESSICA ANN WILSON (NPI# 1811341522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811341522 |
| Entity Type | Individual |
| Full Name | DR. JESSICA ANN WILSON |
| Credential | M.D |
| Practice Address |
155 Main St Brewster NY 10509-1521 |
| Practice Telephone | 8452796999 |
| Mailing Telephone | 8452796999 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 300770 | NY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 64627 | MN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 62647 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068411 | Jessica Lauren Wilson | Nutritionist | 1925 Brady Ave, Arbutus, MD 21227-4109 | 2020-09-16 |
| 1235754086 | Jessica Vienna Wilson | Massage Therapist | 13 Radnor Ave Fl 2, Croton On Hudson, NY 10520-2621 | 2020-06-08 |
| 1831749654 | Jessica Keely Wilson | Licensed Vocational Nurse | 3356 County Road 313, Dublin, TX 76446-6631 | 2019-09-13 |
| 1629622162 | Jessica Patreece Wilson | Nurse Practitioner | 7303 Brittney Lane, Kenly, NC 27542 | 2019-08-01 |
| 1346808623 | Jessica Wilson | Behavior Technician | 415 N Richard Jackson Blvd Ste 209, Panama City Beach, FL 32407-3694 | 2019-06-03 |
| 1336640820 | Jessica Wilson | Registered Nurse | 25 Connecticut Ave, Midlothian, TX 76065-6747 | 2018-02-21 |
| 1427566934 | Jessica N Wilson | Behavior Technician | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2018-01-18 |
| 1912447616 | Jessica Wilson | Nurse Practitioner | 740 S Limestone J401, Lexington, KY 40536-0001 | 2017-02-28 |
| 1215387253 | Jessica Evelynne Wilson | Speech-Language Pathologist | 210 Spring Creek Ave Apt A, Bowling Green, KY 42101-5478 | 2016-06-21 |
| 1295101061 | Jessica Elaine Wilson | Marriage & Family Therapist | 983 Norumbega Dr, Monrovia, CA 91016-1826 | 2015-08-17 |
| Street Address |
155 MAIN ST |
| City | BREWSTER |
| State | NY |
| Zip Code | 10509-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760913768 | Sheena Lou-lu Bruenn | Clinical Nurse Specialist | 155 Main St, Brewster, NY 10509-1521 | 2017-03-22 |
| 1003152240 | Open Door Family Medical Center, Inc. | Clinic/Center | 155 Main St, Brewster, NY 10509-1521 | 2012-12-17 |
| 1255697009 | Daniela Cristina Diaz | Family Medicine | 155 Main St, Brewster, NY 10509-1521 | 2012-04-05 |
| 1225179690 | Village Opticianry | Technician/Technologist | 155 Main St, Brewster, NY 10509-1521 | 2007-02-09 |
| 1144312208 | Komaljit Kaur Bhasin | Dentist | 155 Main St, Brewster, NY 10509-1521 | 2006-09-28 |
| 1346260122 | Gail Brick | Counselor | 155 Main St, Suite # 309, Brewster, NY 10509-1521 | 2006-07-21 |
| 1780627729 | Jay Abram Zaslow | Family Medicine | 155 Main St, Brewster, NY 10509-1521 | 2006-06-14 |
| 1346221496 | Joan Carla Grcevic | Dentist | 155 Main St, Brewster, NY 10509-1521 | 2005-11-07 |
| 1477545267 | Frank Anthony Amoruso | Social Worker | 155 Main St, Brewster, NY 10509-1521 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104397322 | Civility Home Care, LLC | Home Health | 155 Main Street, Ste 104, Brewster, NY 10509 | 2018-12-16 |
| 1407353576 | Jeanne Mary Conte-klein | Registered Nurse | Old Route 6, Carmel, NY 10509 | 2018-04-06 |
| 1013442029 | Caremount Medical, PC | Optometrist | 2 International Blvd, Brewster, NY 10509 | 2017-04-27 |
| 1952758419 | Alison Gail Loewenstein | Dentist | 2410 Us 6, Brewster, NY 10509 | 2016-05-14 |
| 1083956726 | Joseph Francis Dursi | Surgery | Health Services Basic Sciences Building, New York Medical College, Valhalla, NY 10509 | 2013-03-20 |
| 1760726988 | Mallory Elizabeth Aquilino | Physical Therapist | 211 Clock Tower Commons Route 22, Brewster, NY 10509 | 2012-11-15 |
| 1114281375 | Francine M Santos | Specialist | 27 Highview Ter, Brewster, NY 10509 | 2012-07-02 |
| 1639436876 | Oak Tree Family Dental | Dentist | 2410 Rt. 6, Brewster, NY 10509 | 2012-04-12 |
| 1023387628 | Susan M Strain | Student in an Organized Health Care Education/Training Program | 30 Farm To Market Rd., Brewster Central Schools, Brewster, NY 10509 | 2011-12-28 |
| 1407125875 | Susan Chamberlain Norris | Speech-Language Pathologist | 31 Foggintown Road, Brewster, NY 10509 | 2011-12-14 |
| Find all providers in zip 10509 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972769446 | Bethany Lynn | Family Medicine | 418 W Main Street, Brewster, WA 98812 | 2008-08-04 |
| 1760683924 | James G Wallace Jr. | Family Medicine | 525 Jay Ave, Brewster, WA 98812-3403 | 2007-05-29 |
| 1295769446 | Anne Dubosky | Family Medicine | 418 W. Main St., Brewster, WA 98812 | 2006-07-11 |
| 1821022492 | Tamara Ellen Merritt | Family Medicine | 525 West Jay, Brewster, WA 98812-9701 | 2006-07-10 |
| 1821053208 | Main Street Health Associates, P.s. | Family Medicine | 418 West Main Avenue, Brewster, WA 98812 | 2006-04-19 |
| 1821076688 | Theodor Thomas Herwig | Family Medicine | 1 Independence Way, Brewster, MA 02631 | 2006-01-03 |
| 1447242235 | William A Rhodes | Family Medicine | 20 Granite State Ct, Brewster, MA 02631-2127 | 2005-08-17 |
| 1689061517 | Erin Cooley | Family Medicine | 525 Jay Ave, Brewster, WA 98812-3403 | 2015-04-17 |
| 1811259195 | Wenatchee Valley Hospital | Family Medicine | 418 W. Main St., Brewster, WA 98812 | 2012-06-12 |
| 1629338546 | Katherin May Schmitz | Family Medicine | 525 Jay Ave, Brewster, WA 98812-3403 | 2012-05-24 |
| Find all providers in BREWSTER | ||||
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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.