Jessica Lee Brim, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AG0715012 Issued in VA

Practice address

610 S Market St
Salem, VA 24153-5012

Phone

(540) 404-9637

Fax

(540) 404-4146

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 and National Provider Directory roles.

• Gastroenterology Consultants of

  dba Gastroenterology Consultants of Southwest Virginia

  • Gastroenterology Physician
  • Roanoke, VA
  • NPI 1417993833
  Medicare reassignment NPD

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1790867471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S MARKET ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535012",
            "telephone_number": "540-404-9637",
            "fax_number": "540-404-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S MARKET ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535012",
            "telephone_number": "540-404-9637",
            "fax_number": "540-404-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIM",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001235693",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "AG0715012",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "AG0715012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Ann Breech, COTA
• William Charles Briggs, MD
• Bright Leaf Counseling and Wellness Center, LLC
• Amanda Bright, PA-C
• Anita M Brightbill, PHARM. D.
• Hans Anthony Brings, MD
• Magna Brito, RD
• Ronald A Broadwell, MD
• Heather Brockwell, M.S., CF-SLP
• David Chase Broderick

• Primary Care Nurse Practitioner in Salem, VA
• Providers in Salem, VA by specialty
• Primary Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.