Individual provider Active NPI

Jessica Alysse Pierre, MD

  • Pediatrics Physician
  • Ocoee, FL
National Provider Identifier
1407241078
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME135787 Issued in FL
Practice address
1583 E Silver Star Rd
Ocoee, FL 34761-2553
Phone
(407) 770-1414
NPI assigned
Apr 1, 2015
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME135787 FL Primary

Addresses

Primary practice location

1583 E Silver Star Rd
Ocoee, FL 34761-2553

Mailing address

1583 E Silver Star Rd
Ocoee, FL 34761-2553
Phone (407) 770-1414

Other identifiers 1

IdentifierTypeStateIssuer
100218700MedicaidFL

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME135787FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Together Pediatrics, LLC Pediatrics CurrentSince Apr 24, 2022 Accepting new patients
Growing Together Pediatrics, LLC PastSince Apr 24, 2022 Accepting new patients

Locations

1583 E Silver Star Rd
Ocoee, FL 34761
Phone (407) 770-1414

5164 Conway Rd
Orlando, FL 32812
Phone (407) 770-1414

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDBCA
  • Direct secure messaging: jessica.pierre@gtp.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1407241078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 E SILVER STAR RD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612553",
            "telephone_number": "407-770-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 E SILVER STAR RD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612553",
            "telephone_number": "407-770-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "JESSICA",
        "middle_name": "ALYSSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME135787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100218700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.