Active NPI
Jessica M Nourse-Stuart, BCBA-D
- Behavior Analyst
- Danbury, CT
National Provider Identifier
1942866058
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-15731
- Practice address
- 13 Mabel Ave
Danbury, CT 06811-3740 - Phone
- (203) 917-1899
- NPI assigned
- May 14, 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-14-15731 | CT | Primary |
Addresses
Primary practice location
13 Mabel Ave
Danbury, CT 06811-3740
Mailing address
PO Box 612
Brookfield, CT 06804-0612
Phone (203) 917-1899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-14-15731 | Other | CT | CT LICENSE |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1942866058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 612",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068040612",
"telephone_number": "203-917-1899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 MABEL AVE",
"city": "DANBURY",
"state": "CT",
"postal_code": "068113740",
"telephone_number": "203-917-1899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOURSE-STUART",
"first_name": "JESSICA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "BCBA-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1-14-15731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT LICENSE",
"identifier": "1-14-15731",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.