Active NPI
Jessica Lauren Plummer, CPNP
- Nurse Practitioner
- Auburn, MA
National Provider Identifier
1487946141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2258709
- Practice address
- 105 Millbury St
Auburn, MA 01501 - Phone
- (508) 832-9691
- Fax
- (508) 832-7670
- NPI assigned
- May 12, 2011
- Last updated
- May 7, 2014
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2258709 | MA | Primary |
Addresses
Primary practice location
105 Millbury St
Auburn, MA 01501
Mailing address
105 Millbury St
Auburn, MA 01501
Phone (508) 832-9691
Other names 1
- Ms. Jessica Lauren Bryan
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
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2258709 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Health Associates | Past | Accepting new patients |
Interoperability endpoints
- jplummer13890@direct.chppoc.masshiway.net
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Auburn, MA
- NPI 1508926007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399420800000",
"number": "1487946141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MILLBURY ST",
"city": "AUBURN",
"state": "MA",
"postal_code": "01501",
"telephone_number": "508-832-9691",
"fax_number": "508-832-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MILLBURY ST",
"city": "AUBURN",
"state": "MA",
"postal_code": "01501",
"telephone_number": "508-832-9691",
"fax_number": "508-832-7670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUMMER",
"first_name": "JESSICA",
"middle_name": "LAUREN",
"name_prefix": "Ms.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-12",
"last_updated": "2014-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "2258709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "BRYAN",
"middle_name": "LAUREN",
"prefix": "MS.",
"credential": "CPNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Auburn, MA
- Physical Therapy New England Consultants LLC (Federal Injury Center-Auburn)
- Joanne Piecka, NP
- Jennifer Pittman, DPT
- Olivia Elizabeth Plante, LCSW
- John C Platt, MD
- Georgios P Poniros, DPM
- Iwona Prabucka-Davis, DNP FNP-BC
- Premier Health Systems Inc
- Prime Veteran Assessment Services LLC
- Oksana Primmer, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.