Jessica Amico

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0003064 Issued in CO

Practice address

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Phone

(808) 388-0141

NPI assigned

Dec 11, 2014

Last updated

Apr 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1164820882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "808-388-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMICO",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0003064",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "0097956",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOD ID NUMBER",
            "identifier": "1288023197",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Cowell Almonte, LCSW
• Samuel Altman
• Alvaro Alvarado
• Valeria Janeth Alvarado, LPN
• Bonita Wonziel Alvarez, PHARM. D.
• Steven Mark Amster, M.D.
• Bryan Anderson, PA-C
• Hurty Lee Anderson III
• Isabella Anderson, DMD
• Jayson Malcolm Anderson, PTA

• Family Nurse Practitioner in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.