JESSICA MARIE BASTIAN
NPI 1518596030
Clinic/Center - Developmental Disabilities in Leesburg, FL

Q: What is Jessica Bastian's NPI number?

The NPI number for Jessica Bastian is 1518596030. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Q: What is Jessica Bastian's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Bastian was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 06, 2020

1704 W MAIN ST, LEESBURG, FL 34748(352) 702-1478 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jessica Marie Bastian NPPES

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

JESSICA MARIE BASTIAN (NPI 1518596030) is an individual developmental disabilities provider in Leesburg, Florida and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1518596030

Entity TypeIndividualFemale

Primary Taxonomy261QD1600X

Provider Legal NameJESSICA MARIE BASTIAN

Location Address1704 W MAIN STLeesburg, FL 34748-4861

Mailing AddressPo Box 43Tavares, FL 32778-0043 · (352) 702-1478

Phone(352) 702-1478

Sole ProprietorYes

Enumeration DateApril 6, 2020

NPPES CertifiedApril 6, 2020

✔ NPI 1518596030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

1704 W MAIN ST, Leesburg, FL 34748

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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 Bastian's NPI number?

The NPI number for Jessica Bastian is 1518596030. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Jessica Bastian located?

Jessica Bastian practices at 1704 W Main St, Leesburg, FL 34748. The listed phone number is (352) 702-1478.

What is Jessica Bastian's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Jessica Bastian was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.