Jessica Canosa

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP013775 Issued in PA

Practice address

3701 Market St
6TH Floor, Suite 640
Philadelphia, PA 19104-5502

Phone

(215) 662-2250

NPI assigned

Jan 12, 2015

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

Enrolled in PA, NJ2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Penn - Medical Group

  • Hospitalist Physician
  • Philadelphia, PA
  • NPI 1053447151
  Medicare reassignment NPD
• Robert J Maro MD PA

  • Internal Medicine Physician
  • Cherry Hill, NJ
  • NPI 1952342743
  Medicare reassignment NPD
• University of Penn-Medical Group

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1386751089
  NPD
• University of Penn-Medical Group

  • Surgical Oncology Physician
  • Philadelphia, PA
  • NPI 1871981985
  NPD

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1861881088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 MARKET ST",
            "address_2": "6TH FLOOR, SUITE 640",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 MARKET ST",
            "address_2": "6TH FLOOR, SUITE 640",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045502",
            "telephone_number": "215-662-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANOSA",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP013775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Wynne Cannon, M.D.
• Lorraine Marie Cannon, CRNP
• Molly Cannon
• Nicole Margaret Cannon, DPT
• Natalia Cano Sokoloff, M.D.
• Maryellen Canouse
• Luke Anthony Cantamessa, DMD
• Danielle Marie Canter
• Caitlin Deborah Cantor, LCSW, MSW
• Charles R Cantor, MD

• Adult Health Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.