Jessica Fusco, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95021224 Issued in CA

Practice address

3505 Lone Tree Way Ste 1
Antioch, CA 94509-6067

Phone

(925) 303-4780

NPI assigned

Oct 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Thicklin Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Brighter Beginnings

  • Federally Qualified Health Center (FQHC)
  • Richmond, CA
  • NPI 1942638978
  Medicare reassignment NPD
• Brighter Beginnings

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1629275839
  NPD
• Adults Working and Advocating for Kids' Empowerment Inc

  • Clinical Social Worker
  • Sylva, NC
  • NPI 1477313104
  NPD (past)
• Child Medical Collaborative Inc

  • Child Abuse Pediatrics Physician
  • Sylva, NC
  • NPI 1619619186
  NPD (past)

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1508538950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 N MAIN ST UNIT 519",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 LONE TREE WAY STE 1",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096067",
            "telephone_number": "925-303-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSCO",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jthicklin@brighter-beginnings.org",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3505 Lone Tree Way Ste 1",
            "city": "Antioch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945096067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "THICKLIN",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John William Durk Frye III, PHD
• Pascal R. Fuchshuber, MD
• Maurice Fulcher Sr., RADT
• Full Care Medical Group, Inc.
• Nicaela Catherin Fung, RD
• G.O.a.L.S. Success Pad Inc
• Jonah Mai Abad Gacayan
• Teresa Wangui Gachara, LVN
• Angelina Maria Gaddis
• Tonya Marie Gadomski, BA, MFTI

• Family Nurse Practitioner in Antioch, CA
• Providers in Antioch, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.