Jacqueline Jean-Pierre

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

0304092 Issued in MA

Practice address

451 Andover St Ste 110
North Andover, MA 01845-5069

Phone

(617) 817-9745

NPI assigned

Jun 29, 2020

Last updated

May 6, 2021By 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

Medicare fee-for-service enrollment

Enrolled in MA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boston Neurobehavioral Associates, LLC

  • Psychiatry Physician
  • New Bedford, MA
  • NPI 1558415307
  Medicare reassignment NPD

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1699392324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST STE 110",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455069",
            "telephone_number": "617-817-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST STE 110",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455069",
            "telephone_number": "617-817-9745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 Lebanon St",
            "address_purpose": "LOCATION",
            "city": "Melrose",
            "state": "MA",
            "postal_code": "021763225",
            "country_code": "US",
            "telephone_number": "781-979-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN-PIERRE",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "0304092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Peter Ip, M.D.
• Isd Renal Inc (North Andover Renal Center)
• Isentcare LLC
• Walter H. Jacobs, MD
• Janette L. Liu, OD and Associates, LLC (North Andover Eye Care)
• Jecc Behavioral Center
• Jennifer Leslie PSYD LLC
• Michelle Jimenez, PT, DPT
• Joan I. Gitlin, M. D.
• John a Schrader DMD PC Dba Willows Dental Group

• Primary Care Nurse Practitioner in North Andover, MA
• Providers in North Andover, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.