JESSICA DEFAYETTE (NPI# 1962015917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962015917 |
| Entity Type | Individual |
| Full Name | JESSICA DEFAYETTE |
| Gender | Female |
| Practice Address | 15 4th St Malone NY 12953-1340 |
| Practice Telephone | 5184818162 |
| Practice Fax Number | 5184818161 |
| Mailing Address | 15 4th St Malone NY 12953-1340 |
| Mailing Telephone | 5184818162 |
| Mailing Fax Number | 5184818161 |
| Certification Date | 2020-08-28 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 796743 | NY | Nursing Service Providers |
| Identifier | State | Issuer | Type Code |
|---|---|---|---|
| 163W00000X | NY | MEDICAID |
| Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
|---|---|---|---|---|---|
| Direct Messaging Address | jessicadefayette@citizensadvocate.es (crisis center) | 15 4th St, Malone, NY 129531340 | Direct | CSV |
| Street Address | 15 4TH ST |
| City | MALONE |
| State | NY |
| Zip Code | 12953-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003469610 | Savannah Elizabeth Mitchell | Registered Nurse | 15 4th St, Malone, NY 12953-1340 | 2019-07-23 |
| 1467037887 | Jennifer Lee Basford | Registered Nurse | 15 4th St, Malone, NY 12953-1340 | 2021-03-17 |
| 1891389896 | Lauren Elizabeth-Anne Premo | Registered Nurse | 15 4th St, Malone, NY 12953-1340 | 2021-02-22 |
| 1366033995 | Christy M Gokey | Case Manager/Care Coordinator | 15 4th St, Malone, NY 12953-1340 | 2021-01-27 |
| 1952991754 | Samantha Dawn Weaver | Student in an Organized Health Care Education/Training Program | 15 4th St, Malone, NY 12953-1340 | 2021-01-25 |
| 1841887981 | Stephen John Vancour II | Case Management | 15 4th St, Malone, NY 12953-1340 | 2020-12-23 |
| 1578177820 | Jenna Law | Peer Specialist | 15 4th St, Malone, NY 12953-1340 | 2020-09-03 |
| 1194335125 | Wren Royal | Registered Nurse | 15 4th St, Malone, NY 12953-1340 | 2020-08-04 |
| 1972121994 | Kelly Spinner | Registered Nurse | 15 4th St, Malone, NY 12953-1340 | 2020-07-07 |
| 1124652037 | Janel Lynne Hanna | Registered Nurse | 15 4th St, Malone, NY 12953-1340 | 2020-02-29 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427023878 | Vijaya Linga Reddy · Linga Vijaya | Urology | 16 4th St, Suite C, Malone, NY 12953-1340 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174129787 | Janet Gokey | Day Training/Habilitation Specialist | 324 Creighton Road, Malone, NY 12953 | 2020-12-09 |
| 1073119707 | Marcie Goodrow | Specialist | 125 Finney Blvd, Malone, NY 12953 | 2020-12-08 |
| 1386264356 | Ruth Ann Williamson | Nurse Practitioner · Psych/Mental Health | 31 Sixth St., Malone, NY 12953 | 2020-04-20 |
| 1780203760 | Heather Lynn Lauzon | Peer Specialist | 15 Fouth St, Malone, NY 12953 | 2020-04-10 |
| 1437795267 | Sylvain Lafond | Occupational Therapist | 187 Park Street, Rehabilitation Therapy Department, Malone, NY 12953 | 2019-11-27 |
| 1245717115 | Darlean James | Family Medicine · Adult Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
| 1164929212 | Cheryl Ann Grant | Registered Nurse · Psych/Mental Health, Adult | 15 Fourth Street, Malone, NY 12953 | 2018-04-06 |
| 1811408826 | Nancy Denis | Registered Nurse | 133 Park Street, Alice Hyde Medical Center, Malone, NY 12953 | 2017-10-17 |
| 1003325424 | Tara Lynn Ellis | Registered Nurse · School | 23 Husky Lane, Malone, NY 12953 | 2017-09-28 |
| 1578092185 | Shanna Lee Cayea | Peer Specialist | 31 6th Street, Malone, NY 12953 | 2017-06-07 |
| Find all providers in zip 12953 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003469610 | Savannah Elizabeth Mitchell | 15 4th St, Malone, NY 12953-1340 | 2019-07-23 | |
| 1811408826 | Nancy Denis | 133 Park Street, Alice Hyde Medical Center, Malone, NY 12953 | 2017-10-17 | |
| 1619493558 | Vivian Lee Compton | 15 Forth St., Malone, NY 12938 | 2017-08-22 | |
| 1376064279 | Katelyn Jo Jensen | W4108 Jennie Lee Ct, Malone, WI 53049-1708 | 2017-06-29 | |
| 1780001586 | Elizabeth Lucille O'Connor | 11 Stevens St, Malone, NY 12953-1619 | 2014-03-19 | |
| 1215378013 | Dannielle Coryea | 15 Homestead Park, Malone, NY 12953-1613 | 2013-07-10 | |
| 1437434107 | Ashley Marie Lavalley · Ashley Marie Brown | 380 Creighton Rd., Malone, NY 12953 | 2011-10-13 | |
| 1689955221 | Carla Parepa Wheeler | 11 Stevens St., Malone, NY 12953 | 2011-09-08 | |
| 1245523406 | Erin Streiff | 904 County Route 26, Malone, NY 12953-5846 | 2011-05-20 | |
| 1265737522 | Suzanne Sharon Hughes · Suzanne Meagan Hughes | 494 Limekiln Road, Malone, NY 12953 | 2011-01-18 | |
| Find all providers in MALONE | ||||
| City | MALONE |
| Zip Code | 12953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316379860 | Nicole Defayette | Speech-Language Pathologist | 427 Margaret St, Plattsburgh, NY 12901-4751 | 2013-08-07 |
| 1023474301 | Vanessa Defayette | Registered Nurse · Neonatal Intensive Care | 116 Alexandria Ave, Ticonderoga, NY 12883-1644 | 2016-01-03 |
| 1881905040 | Catherine Diane Defayette | Psychologist · School | 47 Sand Rd, Morrisonville, NY 12962-2924 | 2010-06-23 |
| 1588670681 | Todd Michael Defayette | Chiropractor | 834 Duanesburg Rd, Schenectady, NY 12306-1021 | 2006-07-31 |
| 1023373321 | Laurie Mary Defayette Taylor | Case Manager/Care Coordinator | 133 Margaret St, Plattsburgh, NY 12901-2926 | 2012-07-12 |
| 1902139777 | Kristen E Defayette | Occupational Therapist | 185 Margaret St, Suite 1000, Plattsburgh, NY 12901-1837 | 2009-09-11 |
| 1962897223 | William Defayette | General Acute Care Hospital | 3487 Fallowbrook Frst, York, SC 29745-8137 | 2015-04-03 |
| 1144838400 | Nicole Marie Defayette | Nurse Practitioner · Family | 395 West Street, Suite 007, Canandaigua, NY 14424 | 2020-07-22 |
| 1518518091 | Jessica Jessica Klingbeil · Jessica Jessica Lancaster | Speech-Language Pathologist | 2400 47th Ave S, Grand Forks, ND 58201 | 2019-09-25 |
| 1205810306 | Caroline Jessica Jessica Hersch · Jessica Hersch | Counselor · Mental Health | 635 N College Ave, Bloomington, IN 47404-3871 | 2005-12-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.