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JESSICA SHINE CRM
NPI 1033857131
Peer Specialist in Medford, OR

Active since May 26, 2022
16 S PEACH ST, MEDFORD, OR 97501(541) 779-1282(541) 608-2888 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Shine Crm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA SHINE CRM (NPI 1033857131) is an individual peer specialist in Medford, Oregon and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1033857131
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJESSICA SHINECredential: CRM
Location Address16 S PEACH STMedford, OR 97501-2945
Mailing Address1003 E Main St Ste 104Medford, OR 97504-7140 · (541) 779-1282 · Fax (541) 608-2888
Phone(541) 779-1282
Fax(541) 608-2888
Sole ProprietorYes
Enumeration DateMay 26, 2022
NPPES CertifiedMay 26, 2022
✔ NPI 1033857131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
16 S PEACH ST, Medford, OR 97501
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEWIS J DAY VI CADCI
Counselor (Addiction (Substance Use Disorder))
16 S PEACH ST
MEDFORD, OR 97501
Jackson County (541) 779-1282
KATHLEEN MAE PARSONS CRM
Peer Specialist
16 S PEACH ST
MEDFORD, OR 97501
Jackson County (541) 326-4905
SHELBY JAMES GALLIGAN
Peer Specialist
16 S PEACH ST
MEDFORD, OR 97501
Jackson County (541) 779-1282
MR. JEREMY C PHILLIPS CRM
Peer Specialist
16 S PEACH ST
MEDFORD, OR 97501
Jackson County (541) 779-1282
TASHINA WEBSTER PSS
Peer Specialist
16 S PEACH ST
MEDFORD, OR 97501
Jackson County (541) 779-1282
JONI B TRAVER CRM
Peer Specialist
16 S PEACH ST
MEDFORD, OR 97501
Jackson County (541) 779-1282
LLOYD A SHEELER CRM
Peer Specialist
16 S PEACH ST
MEDFORD, OR 97501
Jackson County (541) 779-1282
RONDA R IRELAND CRM
Peer Specialist
16 S PEACH ST
MEDFORD, OR 97501
Jackson County (541) 779-1282

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Shine's NPI number?

The NPI number for Jessica Shine is 1033857131. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Jessica Shine located?

Jessica Shine practices at 16 S Peach St, Medford, OR 97501. The listed phone number is (541) 779-1282.

What is Jessica Shine's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jessica Shine was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.