Individual provider Active NPI

Jessica R Ferrand

  • Psychiatric/Mental Health Registered Nurse
  • Dayton, OH
National Provider Identifier
1366677205
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN300507 Issued in OH
Practice address
601 S Edwin C Moses Blvd
Fourth Floor NW Building
Dayton, OH 45408-1424
Phone
(937) 276-8333
Fax
(937) 276-8339
NPI assigned
May 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN300507 OH Primary

Addresses

Primary practice location

601 S Edwin C Moses Blvd
Fourth Floor NW Building
Dayton, OH 45408-1424

Mailing address

601 S Edwin C Moses Blvd
Fourth Floor NW Building
Dayton, OH 45408-1424
Phone (937) 276-8333

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

LicenseStateTypeSpecialty
RN300507OHMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1366677205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S EDWIN C MOSES BLVD",
            "address_2": "FOURTH FLOOR NW BUILDING",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454081424",
            "telephone_number": "937-276-8333",
            "fax_number": "937-276-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S EDWIN C MOSES BLVD",
            "address_2": "FOURTH FLOOR NW BUILDING",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454081424",
            "telephone_number": "937-276-8333",
            "fax_number": "937-276-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRAND",
        "first_name": "JESSICA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN300507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.