Jessica Giddens, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

277000634 Issued in IL

Practice address

600 W Lincoln Ave
Caseyville, IL 62232-1329

Phone

(618) 310-0724

NPI assigned

Sep 12, 2013

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jessica Whelan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21369/brand/2/csg/1/fhir/r4
• Direct secure messaging: jessica.whelan@hihealthsystem.officeally.direct

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holon Inclusive Behavioral Health

  • Psychiatry Physician
  • Dupo, IL
  • NPI 1528681764

  Brain Injury Medicine

  NPD
• Jessica Whelan LLC

  dba Holon Inclusive Health System

  • Compounding Pharmacy
  • Dupo, IL
  • NPI 1417570920
  NPD
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1033544747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ATTN: 614835 PO BOX 1409",
            "address_2": "131 W HIGH ST. #1409",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651021720",
            "telephone_number": "314-413-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W LINCOLN AVE",
            "city": "CASEYVILLE",
            "state": "IL",
            "postal_code": "622321329",
            "telephone_number": "618-310-0724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Bronze Pointe N",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622261007",
            "country_code": "US",
            "telephone_number": "844-493-1690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIDDENS",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277000634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WHELAN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janine Dawn Felchlin
• Gateway Foundation Inc.
• Gateway Foundation, Inc.
• Gateway Foundation, Inc.
• Gateway Professional Services, PC
• Melissa Hardy, M.S. CCC-SLP
• Shawna Renae Galonda Herndon, LMT
• Melissa Hill, CPNP-PC
• Hollywood Heights Fire Department
• B Jo R Hughes

• Psychiatric/Mental Health Nurse Practitioner in Caseyville, IL
• Providers in Caseyville, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.