Jessica A Rizzotte, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

COA.09605-NP Issued in OH

Practice address

1483 W. Main St
Tipp City, OH 45371

Phone

(937) 667-7711

Fax

(937) 667-8067

NPI assigned

Apr 29, 2010

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

Other names 1

• Jessica Goodfellow Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Child and Adolescent Specialty Care of Dayton Inc.

  • Pediatric Adolescent Medicine Physician
  • Tipp City, OH
  • NPI 1881794113
  NPD (past)

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1740507888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 W. MAIN ST",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "45371",
            "telephone_number": "937-667-7711",
            "fax_number": "937-667-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 W. MAIN ST",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "45371",
            "telephone_number": "937-667-7711",
            "fax_number": "937-667-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZOTTE",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "COA.09605-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GOODFELLOW",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda C Richards, LPCC, LIMFT, LICDC
• Sarah E Ridgeway, LSW
• Courtney Rife
• Steven John Ritzi, D.D.S
• Gulbahar Riza
• Emily A Robbins
• Destiny Robison
• Daniel Steven Roth
• Carol A Ruschau
• Kelly Ryerson

• Pediatric Nurse Practitioner in Tipp City, OH
• Providers in Tipp City, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.