Jessica Vassallo (NPI# 1356946669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1356946669 |
| Entity Type | Individual |
| Full Name | Jessica Vassallo |
| Gender | Female |
| Practice Address |
636 Pine Harbor Way Salem SC 29676-3537 |
| Practice Telephone | 8649039604 |
| Mailing Address |
636 Pine Harbor Way Salem SC 29676-3537 |
| Mailing Telephone | 8649039604 |
| Sole Proprietor | No, this individual is not a Sole Proprietor |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | 230522 | SC |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265719587 | Jessica A Vassallo | Social Worker | 1345 Motor Pkwy, Islandia, NY 11749-5208 | 2011-11-15 |
| 1770557597 | Jessica Lindstadt Vassallo | Clinical Neuropsychologist | 13000 Bruce B Downs Blvd, Psychology 116b, Tampa, FL 33612-4745 | 2006-02-16 |
| 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 |
|---|---|---|---|---|
| 1134759012 | Caleb James Calder | Nurse Practitioner | 11 Oakland St, Salem, MA 01970-1520 | 2020-01-20 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1407371388 | Debra Lee Jenkins | Nurse Practitioner | 1905 Mcvitty Rd, Salem, VA 24153-7405 | 2017-08-11 |
| 1003282310 | Rachell Renee Davis | Nurse Practitioner | 1793 13th St. Se, Salem, OR 97302 | 2015-08-20 |
| 1194108365 | Danielle Marlene Dupuis | Nurse Practitioner | 810 Commercial St Se, Salem, OR 97302 | 2015-07-06 |
| 1306272471 | Josh Hooton | Nurse Practitioner | 251 W State Road 198 Ste 3, Salem, UT 84653-5608 | 2013-09-20 |
| 1104082197 | Richard Fredrick Meyers | Nurse Practitioner | 670 Hawthorne Ave Se, Suite 160, Salem, OR 97301-6884 | 2008-07-30 |
| 1831398122 | Karlen E Luthy | Nurse Practitioner | 118 N Main St Ste B, Salem, UT 84653-5698 | 2007-07-16 |
| 1174603401 | Anthony G Haralabatos | Nurse Practitioner | 59 Stiles Rd 104, Salem, NH 03079-5816 | 2006-10-17 |
| 1457378044 | Robert M Wilkinson | Nurse Practitioner | 141 Hospital Dr Ste 103, Salem, KY 42078-8043 | 2006-07-17 |
| Find all providers in SALEM | ||||
| Street Address |
636 PINE HARBOR WAY |
| City | SALEM |
| State | SC |
| Zip Code | 29676-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790131704 | Keowee Fire Tax District | Emergency Medical Technician, Basic | 115 Maintenance Rd, Salem, SC 29676 | 2016-05-09 |
| 1619341062 | Shawn Thomas | Chiropractor | 315 Coveview Court, Salem, SC 29676 | 2015-11-23 |
| 1720191968 | Robert Scott Anderson | Dentist | 25 Eastern Pt, Salem, SC 29676 | 2006-08-15 |
| 1427407501 | Stephanie Gibson | Community Health Worker | 600b N Lake Dr, Salem, SC 29676-2406 | 2016-06-08 |
| 1174998207 | Shrieka Gilliard | Non-emergency Medical Transport (VAN) | 122 Flat Shoals Rd, Salem, SC 29676-2717 | 2015-12-01 |
| 1316218142 | David Foster | Pharmacist | 15740 N Highway 11 Ste 2b, Salem, SC 29676-3262 | 2012-01-25 |
| 1851937155 | Barbara Anne Perham | Pharmacy Technician | 15740 N Highway 11 Ste 2b, Salem, SC 29676-3262 | 2019-11-21 |
| 1427570282 | Keowee Family Pharmacy, LLC | Pharmacy | 15740 N Highway 11 Ste 2b, Salem, SC 29676-3262 | 2017-07-13 |
| 1871947820 | Leigh Roach | Student in an Organized Health Care Education/Training Program | 9 Park Ave, Salem, SC 29676-3304 | 2016-04-15 |
| 1124438965 | Cindy Winkler Burnett | Counselor | 4 Eagle Ln, Salem, SC 29676-3337 | 2014-05-01 |
| Find all providers in zip 29676 | ||||
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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.