Jamie Pecore

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN.458206 Issued in OH

Practice address

7400 Huntington Park Dr
Columbus, OH 43235-5617

Phone

(614) 505-0377

NPI assigned

Oct 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1740880988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8092 EQUITANA WAY",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430049174",
            "telephone_number": "614-725-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 HUNTINGTON PARK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355617",
            "telephone_number": "614-505-0377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 S High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432071045",
            "country_code": "US",
            "telephone_number": "614-445-8131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECORE",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.458206",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "RN.458206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Haunani Peck, PHARMD
• Megan Marie Peck
• Peggy Peck
• Rebecca Jeanne Peck, M.A. CCC-SLP
• Stephanie Pecoraro
• Vincent Pecore
• Pedapy LLC
• Sarah Alice Peden, APRN
• Dana Marie Pedersen
• Jordyn Rose Pedersen, PT, DPT

• Addiction (Substance Use Disorder) Registered Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.