Jessica Demacedo, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN2333969 Issued in MA

Practice address

386 Stone Church Rd
Tiverton, RI 02878-2813

Phone

(401) 486-1042

NPI assigned

Dec 23, 2020

Last updated

Dec 23, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1194312272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 STONE CHURCH RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028782813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 STONE CHURCH RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028782813",
            "telephone_number": "401-486-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMACEDO",
        "first_name": "JESSICA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN63409",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2333969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Davidge, PHD
• Michael Anthony De Luca, M.D.
• Stephanie Lynn Deane
• David J. Decosta, LCDP
• Lisa Marie Dejesus, PMHNP
• Bianca Alexandria Disilvestro, COTA
• Kelsey Dixon, RN
• Caden J Durham, DPT
• Dutchman Dental LLC
• Dutchmen Dental LLC

• Registered Nurse in Tiverton, RI
• Providers in Tiverton, RI by specialty
• Registered Nurse in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.