Active NPI
Andrea Lynn Jasper, CSFA
- Surgical Assistant
- Moline, IL
National Provider Identifier
1285520049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 238.000481
- Practice address
- 520 Valley View Dr
Moline, IL 61265-6152 - Phone
- (309) 762-3621
- NPI assigned
- Jun 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 238.000481 | IL | Primary |
Addresses
Primary practice location
520 Valley View Dr
Moline, IL 61265-6152
Mailing address
2306 20TH Ave
Rock Island, IL 61201-3643
Phone (309) 230-4155
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238.000481 | IL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1285520049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 20TH AVE",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612013643",
"telephone_number": "309-230-4155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 VALLEY VIEW DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656152",
"telephone_number": "309-762-3621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASPER",
"first_name": "ANDREA",
"middle_name": "LYNN",
"credential": "CSFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238.000481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
- Nicholas Jagush, DPT
- Jai Swaminarayan Inc (QC Medical Group and Weight Loss)
- Tyler Michael Jakubowski
- Yoely B Jaramillo
- David Anthony Jarrin, D.D.S.
- Jennifer Jasper, DPT
- Kaila Jenaman, APRN
- Zhujun Jiang, PSYD
- JKCD Healthcare Consulting, LLC (In-Home Care Connection Home Health Services, LLC)
- Joc Doc. Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.