Individual provider Active NPI

Jessica Dasilva

  • Family Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1043857782
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2275954 Issued in MA
Practice address
1020 Pleasant St
Brockton, MA 02301-3063
Phone
(508) 586-7706
NPI assigned
Dec 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X RN2275954 MA
Family Nurse Practitioner 363LF0000X RN2275954 MA Primary

Addresses

Primary practice location

1020 Pleasant St
Brockton, MA 02301-3063

Mailing address

1020 Pleasant St
Brockton, MA 02301-3063

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL asakerdo@hotmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200423000530 MA Practitioner - Nurse Practitioner 1254761885 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2275954MAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Insight Inc CurrentSince Nov 14, 2022 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 15, 2021 Accepting new patients
The Integrative NP Current Accepting new patients
Bahige Asakar CurrentSince Apr 14, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 15, 2021 Accepting new patients

Locations

1020 Pleasant St
Brockton, MA 02301
Phone (508) 586-7705

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

105 Webster St
Ste 8
Hanover, MA 02339
Phone (781) 312-7457

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

105 Washington St
Ste 4
North Easton, MA 02356
Phone (508) 230-2323

105 Washington St
North Easton, MA 02356
Phone (508) 230-2323

54 Miller St
Ste 200
Quincy, MA 02169
Phone (617) 481-3200

21 Bristol Dr
Ste 200
South Easton, MA 02375
Phone (508) 565-7300

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1043857782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013063",
            "telephone_number": "508-586-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASILVA",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MA",
            "license": "RN2275954",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2275954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "asakerdo@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Office email adress",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1020 Pleasant St",
            "city": "Brockton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023013063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.