Jessica Marie Utt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110003277 Issued in VA

Practice address

1250 E Marshall St
Dept. of Neurology
Richmond, VA 23298-5051

Phone

(804) 662-9185

Fax

(804) 662-9178

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Marie Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• TMH Physician Organization

  • Critical Care Medicine (Anesthesiology) Physician
  • Houston, TX
  • NPI 1598799116
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1821165382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL ST",
            "address_2": "DEPT. OF NEUROLOGY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985051",
            "telephone_number": "804-662-9185",
            "fax_number": "804-662-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTT",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MILLER",
            "middle_name": "MARIE",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carol B Ussery, M.D.
• Usv Optical Inc.
• Ifeyinwa Ngozi Utah, MBBS
• Josette Utsey, LPC
• Shawn Ovie Utsey, PH.D.
• Kelsie Faith Utz, LCSW
• Uva Community Health Medical Group, LLC
• Heidi Uvodich, PA-C
• Kenneth Brian Uy, MD
• Uzurv Holdings Inc

• Physician Assistant in Richmond, VA
• Providers in Richmond, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.