Jessica Cordero, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN99012 Issued in MA

Practice address

3550 Main St Ste 101
Springfield, MA 01107-1078

Phone

(413) 858-7400

NPI assigned

Jan 22, 2021

Last updated

Jan 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1528658630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PARKSIDE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011041830",
            "telephone_number": "413-417-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 MAIN ST STE 101",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071078",
            "telephone_number": "413-858-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "JESSICA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN99012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcordero@commonwealthcare.org",
            "affiliation": "N",
            "address_1": "3550 Main St Ste 101",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011071078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Quentin Copeland
• Quiana Kahmila Copeland
• Nichole Marree Coppez, FNP-C
• Courtney Noelle Corbett
• David Cordaro, M.A., LMHC
• Joy Ellen Corey, LICSW
• Shelah Rachel Elise Corey, M.S., M.S.W.
• Angel Luis Coriano
• Patricia Corkum
• Monique Cormier

• Licensed Practical Nurse in Springfield, MA
• Providers in Springfield, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.