Jesse H Azzopardi

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

1837992-96 Issued in OR

Practice address

136 NE 7TH Ave Apt C
Hillsboro, OR 97124-3271

Phone

(503) 662-9222

NPI assigned

Jul 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jesse H Azzopardi Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mobile Memory Enrichment, LLC.

  • In Home Supportive Care Agency
  • Hillsboro, OR
  • NPI 1346001674
  NPD Authorized official

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1326727413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971230752",
            "telephone_number": "503-662-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 NE 7TH AVE APT C",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243271",
            "telephone_number": "503-662-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZOPARDI",
        "first_name": "JESSE",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "OR",
            "license": "1837992-96",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "AZZOPARDI",
            "middle_name": "H",
            "credential": "C.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Barijisu Awali
• Carly S Axman, PT
• Julia Ayles
• Soledad Tarka Ayres, MD
• Shauyaun Azimi, DO
• Shaun Richard Babcock, LCSW
• Rebecca Nelson Babener, LPC, QMHP, CADC I.
• Sophia Baca
• Jan Sharone Bacani, RN
• Joseph Bach

• Prevention Professional in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Prevention Professional in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.