Jessica Denisse Vazquez, DNP, FNP-BC, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

L8-0010884 Issued in DE

Practice address

1900 N 9TH St
Philadelphia, PA 19122-2024

Phone

(267) 259-3373

NPI assigned

Aug 10, 2019

Last updated

Jan 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA, DE2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mid-Atlantic Behavioral Health, LLCGroup PAC ID 3375620016, 88 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.vazquez@1664.securemail.prognocis.com

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.

• Mid-Atlantic Behavioral Health, LLC

  dba LifeStance Health

  • Intellectual & Developmental Disabilities Psychologist
  • Newark, DE
  • NPI 1871719872
  Medicare reassignment Care Compare group NPD
• Asociacion de Puertorriquenos En Marcha, Inc.

  dba APM Mental Health Psychiatric Outpatient Clinics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
  • NPI 1003093121
  Medicare reassignment NPD
• Pear Program Inc

  • Family Nurse Practitioner
  • Wayne, PA
  • NPI 1609590470
  Medicare reassignment NPD

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

{
    "created_epoch": "1565395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1801442470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N 9TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191222024",
            "telephone_number": "267-259-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N 9TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191222024",
            "telephone_number": "267-259-3373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Commons Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "DE",
            "postal_code": "197202419",
            "country_code": "US",
            "telephone_number": "302-224-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "JESSICA",
        "middle_name": "DENISSE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-10",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "LG-0011496",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherie Lisa Vaz, MD
• Jason Vaz
• Nissim Vazana, OTR/L
• Jamila Vazquez Martinez
• Tadana Angelica Vazquez Rothschuh, MD
• Joshua Rafael Vazquez, LCSW
• Lauren Catherine Vazquez
• Thomas John Vazquez, MD
• Kianna Carol Veal
• David James Vearrier, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.