Vicki L Jessop, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

COA.15613-NP Issued in OH

Practice address

1900 23Rd St
Pain Medicine
Cuyahoga Falls, OH 44223-1404

Phone

(330) 971-7246

Fax

(330) 971-7256

NPI assigned

Jan 31, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, AZ, FL, MA, WA5 enrollments

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 5

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Columbus, OH
  • NPI 1295316602
  Medicare reassignment NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Bellevue, WA
  • NPI 1689249096
  Medicare reassignment NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Boston, MA
  • NPI 1881261303
  Medicare reassignment NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Davie, FL
  • NPI 1942812763
  Medicare reassignment NPD
• Easy Health Medical Solutions PC

  • Nurse Practitioner
  • Fulton, MD
  • NPI 1972179141

  OH, WA

  Medicare reassignment NPD
• Southern Arizona Urgent Care LLC

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1285994004
  Medicare reassignment NPD
• Southern Arizona Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1386003788
  NPD
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1154744852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 23RD ST",
            "address_2": "PAIN MEDICINE",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231404",
            "telephone_number": "330-971-7246",
            "fax_number": "330-971-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 23RD ST",
            "address_2": "PAIN MEDICINE",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231404",
            "telephone_number": "330-971-7246",
            "fax_number": "330-971-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSOP",
        "first_name": "VICKI",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.15613-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0098159",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JBF Health Services, LTD
• Jefferson Park Spine Specialists, LLC
• Jen Yensel LLC
• Jennifer L Otto PT Inc
• Carolyn Ashley Jenson, PCC, LMFT
• Rufus Wayne Jessup-Savage, CNP
• Jewell & Kudro, LLC
• Steffanie Rose Jewell-Gens
• Joanna Kleckner DDS Inc
• Nancy Carolyn Jobe, LISW

• Adult Health Nurse Practitioner in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.