Jessica Speares, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

23014893 Issued in NY

Practice address

340 Arnett Blvd
Rochester, NY 14619-1147

Phone

(585) 235-2250

Fax

(585) 235-0011

NPI assigned

Jul 26, 2011

Last updated

Feb 1, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jspeares300604@direct.rochesterregional.org

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.

• Portland Pediatric Group, LLP

  • Pediatrics Physician
  • Rochester, NY
  • NPI 1174745285
  NPD (past)
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1063531929
  NPD (past)

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1861770794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HUDSON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175155",
            "telephone_number": "585-342-5665",
            "fax_number": "585-342-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ARNETT BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146191147",
            "telephone_number": "585-235-2250",
            "fax_number": "585-235-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARES",
        "first_name": "JESSICA",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "23014893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Todd Spatol
• Megan C. Spatola
• Becca Spaulding, NPP
• Leigha Spaziano, CASAC 2
• Sharon Spear, RD CDE
• Aaron Spears, LPN
• Phawntia P Spears
• Bailey Specht, RDN
• Linda S. Specht, LMSW
• Special Care Supply LLC

• Medical Physician Assistant in Rochester, NY
• Providers in Rochester, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.