Active NPI
Jessica Jones Gotham, CRNA
- Certified Registered Nurse Anesthetist
- Bluefield, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0001206731
- Practice address
- 500 Cherry St
Bluefield, WV 24701-3306 - Phone
- (304) 327-1656
- NPI assigned
- Jan 30, 2013
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0001206731 | VA | Primary |
Addresses
Primary practice location
500 Cherry St
Bluefield, WV 24701-3306
Mailing address
1563 Stoney Battery Rd
Marion, VA 24354-6887
Phone (276) 685-2751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 399-6111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001206731 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Anesthesia Ams LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sunbelt Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sunshine State Anesthesia Partners LLC | Current | Accepting new patients | |
| Ams National LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Bluefield HBP Medical Group LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Laser and Outpatient Surgery Center LLC | Past | Accepting new patients | |
| Anderson County Anesthesia Associates, PA | Past | Accepting new patients | |
| Sunbelt Visiting Primary Care LLC | Past | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050
8833 Perimeter Park Blvd
Ste 901
Jacksonville, FL 32216
Phone (904) 240-4777
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
7051 Southpoint Pkwy S
Jacksonville, FL 32216
Phone (904) 432-1521
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825
6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599
10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600
2438 Dr Ml King Jr St N
St Petersburg, FL 33704
Phone (727) 565-0740
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242
12252 Williams Rd SE
Ste 1
Cumberland, MD 21502
Phone (240) 552-0185
641 S Salisbury Blvd
Salisbury, MD 21801
Phone (410) 341-9002
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ponte Vedra, FL
- NPI 1205172079
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1033531785
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bluefield, WV
- NPI 1750699260
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Palestine, TX
- NPI 1699763557
-
- Ambulatory Surgical Clinic/Center
- Gainesville, FL
- NPI 1831116698
-
- Primary Care Clinic/Center
- Jacksonville, FL
- NPI 1598278707
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1518205251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1563 STONEY BATTERY RD",
"city": "MARION",
"state": "VA",
"postal_code": "243546887",
"telephone_number": "276-685-2751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CHERRY ST",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247013306",
"telephone_number": "304-327-1656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTHAM",
"first_name": "JESSICA",
"middle_name": "JONES",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-30",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0001206731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bluefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.