Active NPI
Jessica Sue Lusson, RDH
- Dental Hygienist
- Rice Lake, WI
National Provider Identifier
1811545700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1002730-16
- Practice address
- 1501 W Stout St
Rice Lake, WI 54868-5001 - Phone
- (714) 236-8900
- NPI assigned
- Sep 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1002730-16 | WI | Primary |
Addresses
Primary practice location
1501 W Stout St
Rice Lake, WI 54868-5001
Mailing address
2481 12 3/4 Ave
Cameron, WI 54822-8725
Phone (715) 205-7488
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lusson.jessica@marshfieldclinic.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1002730-16 | WI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1811545700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2481 12 3/4 AVE",
"city": "CAMERON",
"state": "WI",
"postal_code": "548228725",
"telephone_number": "715-205-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 W STOUT ST",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548685001",
"telephone_number": "714-236-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSSON",
"first_name": "JESSICA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "1002730-16",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lusson.jessica@marshfieldclinic.org",
"affiliation": "N",
"endpointDescription": "FHC email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1501 W Stout St",
"city": "Rice Lake",
"state": "WI",
"country_code": "US",
"postal_code": "548685001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rice Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.