Jesry Bacarisas

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

RN61004277 Issued in WA

Practice address

1200 Intrepid Ave
Philadelphia, PA 19112-1229

Phone

(800) 748-3243

NPI assigned

Oct 12, 2022

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1952027872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7821 S K ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984082922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 INTREPID AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121229",
            "telephone_number": "800-748-3243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Intrepid Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191121229",
            "country_code": "US",
            "telephone_number": "800-748-3243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACARISAS",
        "first_name": "JESRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "WA",
            "license": "RN61004277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bracken Babula, M.D.
• Lenard Babus, MD
• Daria V Babushok, MD, PHD
• Baby Steps Outpatient Center
• Bartholomew J Bacak, MD
• Alyssa Baccarella, MD
• Carmen I Baccarini, M.D.
• Patricia D Baccash, MD
• Kara Bacchia, LCSW
• Arefa Bacchus

• Emergency Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Emergency Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.