Individual provider Active NPI

Jessica Sweet

  • Psychiatric/Mental Health Nurse Practitioner
  • Haverhill, MA
National Provider Identifier
1699483669
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2275182 Issued in MA
Practice address
76 Summer St
Haverhill, MA 01830-5814
Phone
(866) 306-0263
NPI assigned
Nov 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN2275182 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2275182 MA Primary

Addresses

Primary practice location

76 Summer St
Haverhill, MA 01830-5814

Mailing address

93 Pine St
Danville, NH 03819-3203
Phone (603) 553-2339

Other names 1

  • Jessica Kesner Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221222001770 MA Practitioner - Nurse Practitioner 5395115992 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2275182MAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
WP Acquisition Sub LLC CurrentSince Nov 15, 2022 Accepting new patients
WP Acquisition Sub LLC CurrentSince Nov 15, 2022 Accepting new patients

Locations

76 Summer St
Haverhill, MA 01830
Phone (978) 258-4734

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1699483669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 PINE ST",
            "city": "DANVILLE",
            "state": "NH",
            "postal_code": "038193203",
            "telephone_number": "603-553-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SUMMER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018305814",
            "telephone_number": "866-306-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEET",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2275182",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2275182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KESNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.