Individual provider Active NPI

Jessica Nicole Plouffe, R.N.

  • School Registered Nurse
  • Peoria, AZ
National Provider Identifier
1083993208
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN167067 Issued in AZ
Practice address
8343 W Molly LN
Peoria, AZ 85383-3819
Phone
(623) 258-3854
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN167067 AZ Primary

Addresses

Primary practice location

8343 W Molly LN
Peoria, AZ 85383-3819

Mailing address

8343 W Molly LN
Peoria, AZ 85383-3819
Phone (623) 258-3854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN167067AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1083993208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8343 W MOLLY LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833819",
            "telephone_number": "623-258-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8343 W MOLLY LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833819",
            "telephone_number": "623-258-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOUFFE",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN167067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.