JESSICA MYERS (NPI# 1902278476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902278476 |
| Entity Type | Individual |
| Full Name | JESSICA MYERS |
| Credential | NP |
| Practice Address |
2200 N Section St Sullivan IN 47882-7523 |
| Mailing Address |
2200 N Section St Po Box 10 Sullivan IN 47882-7523 |
| Practice Telephone | 8122684311 |
| Practice Fax Number | 8122682652 |
| Mailing Telephone | 8122684311 |
| Mailing Fax Number | 8122682652 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2017-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71005765A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861029811 | Jessica Myers | Specialist/Technologist | 14155 Castle Blvd Apt 404, Silver Spring, MD 20904-4781 | 2020-03-26 |
| 1902393051 | Jessica T Myers | Home Health Aide | 281 N Cass St, Morley, MI 49336-9459 | 2018-04-15 |
| 1275074064 | Jessica R Myers | Social Worker | 303 Lakeview Dr, Crestview, FL 32536-2330 | 2017-03-14 |
| 1568830750 | Jessica Lynn Myers | Counselor | 8401 Claude Thomas Rd Ste 16, Franklin, OH 45005-1475 | 2015-09-04 |
| 1538448121 | Jessica Myers | Physical Therapist | 1605 E Palmdale Blvd Ste A, Palmdale, CA 93550-7800 | 2011-08-12 |
| 1225363781 | Jessica Myers | Speech-Language Pathologist | 500 Central Park Dr, # 322, Oklahoma City, OK 73105-1705 | 2009-10-15 |
| 1326001546 | Jessica M Myers | Physical Therapist | 3510 Anderson Hwy Ste 2, Powhatan, VA 23139-5846 | 2006-04-10 |
| 1073130126 | Jessica Myers | Speech-Language Pathologist | 12222 W Bridger Bay Dr, Star, ID 83669-5081 | 2020-07-05 |
| 1770123010 | Jessica Lynn Myers | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-01-15 |
| 1922583160 | Jessica Lynn Myers | Registered Nurse | 1505 W Sherman Ave, Vineland, NJ 08360-7059 | 2018-10-02 |
| Street Address |
2200 N SECTION ST |
| City | SULLIVAN |
| State | IN |
| Zip Code | 47882-7523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497759260 | Sullivan County Community Hospital | General Acute Care Hospital | 2200 N Section St, Sullivan, IN 47882-7523 | 2005-06-09 |
| 1154939320 | Sullivan County Community Hospital | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2020-07-14 |
| 1760018691 | Holly M Clevenger | Social Worker | 2200 N Section St, Sullivan, IN 47882-7523 | 2020-03-23 |
| 1710479084 | Jessica A Dean-hester | Nurse Practitioner | 2200 N Section St, Sullivan, IN 47882-7523 | 2018-06-03 |
| 1891193314 | Community Medical Imaging Inc | Radiology | 2200 N Section St, Sullivan, IN 47882-7523 | 2014-12-16 |
| 1154741296 | Mso Clinics, Inc. | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2014-04-16 |
| 1063831527 | Mso Clinics, Inc. | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2014-04-14 |
| 1518187012 | Angela Beth Sagarsee | Dietitian, Registered | 2200 N Section St, Sullivan, IN 47882-7523 | 2007-04-26 |
| 1104045871 | Traci Ann Ray | Dietitian, Registered | 2200 N Section St, Sullivan, IN 47882-7523 | 2007-04-24 |
| 1134343122 | R. Vedala and Associates, LLC | Radiology | 2200 N Section St, Sullivan, IN 47882-7523 | 2007-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659718336 | Neil Lynn Smith | Dentist | 118 S. Court St., Sullivan, IN 47882 | 2013-06-04 |
| 1184888000 | Mary Sherman Hospital | Hospice Care, Community Based | 817 North Section Street, Suite A, Sullivan, IN 47882 | 2008-07-10 |
| 1003838194 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 505 West Wolfe Street, Sullivan, IN 47882 | 2006-07-24 |
| 1255580593 | Daniel Choyce Callahan | Psychiatry & Neurology | 2204 N Section St, Sullivan, IN 47882 | 2008-09-11 |
| 1851394175 | Van Evanoff Jr. | Pain Medicine | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2005-05-31 |
| 1982780748 | Associated Physicians & Surgeons Clinic, LLC | Obstetrics & Gynecology | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2006-10-27 |
| 1871996199 | Sullivan Family Dentistry, LLC | Dentist | 2186 N Hospital Blvd., Suite 1, Sullivan, IN 47882-0468 | 2014-10-01 |
| 1487828455 | Kortni Reann Martindale | Speech-Language Pathologist | 368 W Indiana Ave, Sullivan, IN 47882-1117 | 2008-04-21 |
| 1831280585 | Southwest School Corporation | Local Education Agency (LEA) | 110 N Main St, Sullivan, IN 47882-1225 | 2006-09-27 |
| 1780717637 | Brian K Grindstaff | Chiropractor | 210 N Section St Unit C, Sullivan, IN 47882-1237 | 2007-03-13 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083019020 | Cinnamon Dale Michalik | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2014-11-04 |
| 1770823387 | Kathleen Pirtle | Nurse Practitioner | 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882-7654 | 2013-02-19 |
| 1780795658 | Tammy Watz | Nurse Practitioner | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2006-08-31 |
| 1912947169 | Stacey L Smith | Nurse Practitioner | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2006-06-07 |
| 1801898085 | Joya Ryan | Nurse Practitioner | 2 W Adams St, Sullivan, IL 61951-1943 | 2005-06-01 |
| 1932101193 | Esther Johnson | Nurse Practitioner | 2 W Adams St, Sullivan, IL 61951-1943 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769948 | Amy Renee Bradley | Nurse Practitioner | 10404 Cerulean Dr, Noblesville, IN 46060-7676 | 2020-10-27 |
| 1083213607 | Medihealth Primary Care LLC | Nurse Practitioner | 2345 W Franklin St Ste 102, Evansville, IN 47712-5100 | 2020-10-23 |
| 1891394599 | Laury Farrell | Nurse Practitioner | 6017 Stoney Creek Dr, Fort Wayne, IN 46825-4410 | 2020-10-22 |
| 1255930657 | Caitlyn Shuck | Nurse Practitioner | 2641 Marsh Hawk Dr, Greenwood, IN 46143-5749 | 2020-10-19 |
| 1730787599 | Crystal Neal | Nurse Practitioner | 4430 Keeneland Ln Unit 202, Fort Wayne, IN 46845-1985 | 2020-10-14 |
| 1285240390 | Amy D Perry | Nurse Practitioner | 728 N Cross Pointe Blvd # 102, Evansville, IN 47715-9163 | 2020-09-23 |
| 1013523588 | Amy Deion Stitt | Nurse Practitioner | 738 E 200 N, Warsaw, IN 46582-4658 | 2020-09-21 |
| 1881200152 | Positive Energy Health Center LLC | Nurse Practitioner | 5023 E 56th St Ste 130, Indianapolis, IN 46226-1471 | 2020-09-21 |
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1821615485 | Denise Michelle Alexander | Nurse Practitioner | 815 West 2nd Street, Bloomington, IN 47403-2212 | 2020-06-30 |
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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.