JILLIAN LEIGH CRESTA (NPI# 1942860432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942860432 |
| Entity Type | Individual |
| Full Name | JILLIAN LEIGH CRESTA |
| Credential | PA-C |
| Practice Address |
177 Broadway St Wakefield MA 01880-3107 |
| Practice Telephone | 7816864300 |
| Mailing Telephone | 7816864300 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
177 BROADWAY ST |
| City | WAKEFIELD |
| State | MA |
| Zip Code | 01880-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497314520 | The Speech Therapy Center | Speech-Language Pathologist | 94 Parker Rd, Wakefield, MA 01880 | 2019-06-12 |
| 1720555774 | Brenda Joyce Baylis | Doula | 4 Foster Street, Wakefield, MA 01880 | 2018-10-29 |
| 1912473521 | Cathy Dowen | Internal Medicine | 607 North Avenue Door 17, Wakefield, MA 01880 | 2018-10-22 |
| 1376035824 | Moira Mcnabb-o'connell | Behavioral Analyst | 607 North Ave Door 11 2nd Floor, Wakefield, MA 01880 | 2018-05-31 |
| 1548785215 | Brightview Wakefield, LLC | Alzheimer Center (Dementia Center) | 21 Crescent Street, Wakefield, MA 01880 | 2017-08-03 |
| 1982125050 | Ashley Rose Sullivan | Behavioral Analyst | 607 North Ave., Door 11, Second Floor, Wakefield, MA 01880 | 2017-06-29 |
| 1659728202 | Michelle Tomczyk | Behavioral Analyst | 301 Edgewater Place, Suite 100, Wakefield, MA 01880 | 2016-05-24 |
| 1104204353 | Logistic Transportation LLC | Taxi | 301 Edgewater Pl 100, Wakefield, MA 01880 | 2015-05-08 |
| 1184042830 | Kimberly Bliss Parent | Massage Therapist | 591 North Avenue, Doo 4, Wakefield, MA 01880 | 2014-03-31 |
| 1457792541 | Maura A Racamato | Community Health Worker | 10 Thistledale Rd, Wakefield, MA 01880 | 2013-07-17 |
| Find all providers in zip 01880 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655071 | Sasha Alexandra Bodnaruk | Physician Assistant | 75 Pleasant St, Wakefield, MA 01880-1809 | 2018-07-09 |
| 1154316370 | Amy Berrol | Physician Assistant | 70 Kenyon Ave, Suite 215, Wakefield, RI 02879-4239 | 2005-09-14 |
| 1003442476 | Michaella Elizabeth Marzullo | Physician Assistant | 100 Kenyon Ave, Wakefield, RI 02879-4299 | 2020-03-18 |
| 1154977221 | Kelly L Murphy | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2019-08-14 |
| 1245891167 | Kayla Lynch | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2019-06-21 |
| 1508346925 | Kayla Marie Denis | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2018-08-15 |
| 1063999720 | Zachary Mitchell Hudson | Physician Assistant | 1 High St, Wakefield, RI 02879-1422 | 2018-07-25 |
| 1417449711 | Mercedes Marie Godin | Physician Assistant | 1 High St, Wakefield, RI 02879 | 2018-06-01 |
| 1710409214 | Ida Kruse | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2017-07-17 |
| 1679910988 | Bridget Anne Wilder | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2013-05-28 |
| Find all providers in WAKEFIELD | ||||
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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.