JESSICA LOPEZ (NPI# 1871979849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871979849 |
| Entity Type | Individual |
| Full Name | JESSICA LOPEZ |
| Practice Address |
150 E Riverside Dr Suite 100 Eagle ID 83616-6087 |
| Practice Telephone | 2089383511 |
| Mailing Telephone | 2089383511 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MASG-1311 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946731 | Jessica Mirella Lopez | Occupational Therapy Assistant | 15928 Ventura Blvd Ste 218, Encino, CA 91436-4413 | 2020-03-03 |
| 1982268207 | Jessica Ann Lopez | Counselor | 2040 Babcock Rd Ste 402, San Antonio, TX 78229-4428 | 2019-04-23 |
| 1053870568 | Jessica Ana Lopez | Licensed Practical Nurse | 1447 E 2nd St Apt D, Brooklyn, NY 11230-5531 | 2019-03-14 |
| 1669949269 | Jessica Lopez | Psychologist | Carr 134 Km 6.9 Int Berrocal Bo Bayaney, Hatillo, PR 00659 | 2018-11-01 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1992152060 | Jessica Lopez | Skilled Nursing Facility | 27 Wyndham Rd, Brentwood, NY 11717-2336 | 2016-05-18 |
| 1386023984 | Jessica Marie Lopez | Specialist | 930 Nottingham Drive, Oxnard, CA 93030 | 2015-05-28 |
| 1881942878 | Jessica Lopez | Occupational Therapist | 10475 Sw 43rd St, Miami, FL 33165-4910 | 2012-08-22 |
| 1356603419 | Jessica Ayala Lopez | Physician Assistant | 708 Memorial Mews St Apt A, Houston, TX 77079-8408 | 2012-06-13 |
| 1225643794 | Jessica Lopez | Behavior Technician | 625 The City Dr S Ste 120, Orange, CA 92868-3352 | 2020-09-11 |
| Street Address |
150 E RIVERSIDE DR SUITE 100 |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-6087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871977967 | Anthony Arthur Wilburn | Massage Therapist | 150 E Riverside Dr, Suite 100, Eagle, ID 83616-6087 | 2015-07-17 |
| 1023494010 | Hailey Jellison | Massage Therapist | 150 E Riverside Dr, Suite 100, Eagle, ID 83616 | 2015-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| 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 |
|---|---|---|---|---|
| 1740833573 | Lynda L Hopkins | Massage Therapist | 539 S Fitness Pl Ste 150, Eagle, ID 83616-7035 | 2019-07-21 |
| 1174028328 | Danika Kristan Lewis | Massage Therapist | 2305 N Eagle Creek Ln, Eagle, ID 83616-6819 | 2018-03-29 |
| 1962903005 | Lisa K Johnson | Massage Therapist | 717a Sylvan Lake Road, Eagle, CO 81631 | 2018-02-23 |
| 1487168142 | Brenda G Smith | Massage Therapist | 1545 E Iron Eagle Dr Ste 103, Eagle, ID 83616-7079 | 2017-11-16 |
| 1700328945 | Body Balance Bliss | Massage Therapist | 200 Capitol St., Eagle, CO 81631 | 2016-11-04 |
| 1881070662 | Valerie Dewolfe | Massage Therapist | 150 E Riverside Dr Ste 100, Eagle, ID 83616-6088 | 2015-08-04 |
| 1871977967 | Anthony Arthur Wilburn | Massage Therapist | 150 E Riverside Dr, Suite 100, Eagle, ID 83616-6087 | 2015-07-17 |
| 1720698210 | Janet Lee Groeger | Massage Therapist | 1151 E Iron Eagle Dr, Eagle, ID 83616-6854 | 2020-08-09 |
| 1356987390 | Matthew Demers | Massage Therapist | 1045 S Ancona Ave Ste 140, Eagle, ID 83616-6374 | 2019-11-25 |
| 1972055499 | Kathryn Cueva | Massage Therapist | 200 Capitol St, Eagle, CO 81631 | 2016-11-01 |
| Find all providers in EAGLE | ||||
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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.