JESSICA LOPEZ (NPI# 1992152060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992152060 |
| Entity Type | Individual |
| Full Name | JESSICA LOPEZ |
| Practice Address |
27 Wyndham Rd Brentwood NY 11717-2336 |
| Practice Telephone | 6313177709 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
Nursing & Custodial Care Facilities |
| 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 |
| 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 |
| 1851904510 | Jessica Lopez | Technician/Technologist | 2225 Challenger Way, Santa Rosa, CA 95407-5441 | 2020-08-24 |
| Street Address |
27 WYNDHAM RD |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144756479 | Christine Campbell | Skilled Nursing Facility | 14534 109th Ave, Jamaica, NY 11435-5414 | 2017-05-05 |
| 1871033985 | Sukhreet Bibbs | Skilled Nursing Facility | 1 Bradford Ct, Syracuse, NY 13207-2504 | 2017-03-08 |
| 1356890289 | Ann G Odonnell | Skilled Nursing Facility | 5644 Netherland Ave., 2a, Bronx, NY 10471 | 2016-10-04 |
| 1790239929 | Interim Healthcare | Skilled Nursing Facility | 2088 S Dry Brook Rd, Hancock, NY 13783-3442 | 2016-08-04 |
| 1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
| 1164893400 | Lois Knapp PCa | Skilled Nursing Facility | 2861 State Highway 7, Otego, NY 13825-2139 | 2015-10-13 |
| 1801265913 | Victor Marceano Rn | Skilled Nursing Facility | 85 California Ave, Middletown, NY 10940-6621 | 2015-09-18 |
| 1861860827 | Yves M Bastien | Skilled Nursing Facility | 79 Roeckel Ave, Valley Stream, NY 11580-3506 | 2015-09-08 |
| 1750757027 | Promed Staffing Resources | Skilled Nursing Facility | 99 Cameron Ave, Hempstead, NY 11550-4511 | 2015-08-20 |
| 1013383264 | St. Mary's Hospital for Children | Skilled Nursing Facility | 507 Bainbridge St, Brooklyn, NY 11233-2002 | 2015-08-11 |
| Find all providers with the same taxonomy | ||||
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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.