Jillian Marie Puerto

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

0001225202 Issued in VA

Practice address

1903 Elmsmere Ave
Richmond, VA 23227-4305

Phone

(804) 387-8788

NPI assigned

Jan 13, 2021

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 names 1

• Jillian Puerto Saunders Former name

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1225627359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 ELMSMERE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274305",
            "telephone_number": "804-387-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 ELMSMERE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274305",
            "telephone_number": "804-387-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUERTO",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "VA",
            "license": "0001225202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "SAUNDERS",
            "middle_name": "PUERTO",
            "credential": "RN BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• PT Works, LLC
• Publix North Carolina LP
• Publix North Carolina, LP
• Publix North Carolina, LP
• Jamie Pucci, OD
• Lindsay Alexandra Pugh
• Michael Joseph Puglia, ATC
• Dominique Rose Pugliesi, STUDENT, HEALTHCARE
• David Hutchinson Pullen, LPC
• Anthony James Puller, DDS

• Emergency Registered Nurse in Richmond, VA
• Providers in Richmond, VA by specialty
• Emergency Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.