Jessica Lynn Tobias, CPSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

248 Ferry LN
Saint Ignace, MI 49781-1828

Phone

(906) 984-2080

Fax

(906) 984-2109

NPI assigned

Feb 20, 2023

Last updated

Feb 20, 2023By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1679271647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WOOD LAKE RD",
            "city": "KINCHELOE",
            "state": "MI",
            "postal_code": "497881128",
            "telephone_number": "906-203-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 FERRY LN",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497811828",
            "telephone_number": "906-984-2080",
            "fax_number": "906-984-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIAS",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "CPSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175T00000X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thurston Chiropractic Clinic P C
• David James Thurston, DC
• Lucas James Thurston, DC
• David John Tielbar
• Nathan Timmerman
• Stephanie Vaughn, MS, OTRL
• Brandon Vincent
• Moody Wasif, DDS
• Jodi Marie Waybrant
• Tara M Weist, NP

• Peer Specialist in Saint Ignace, MI
• Providers in Saint Ignace, MI by specialty
• Peer Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.