JENNIFER J KELLY


Address: 62 Tilley Dr Ste 202, South Burlington, VT 05403-4407
Phone: (802) 847-4576

JENNIFER J KELLY (NPI# 1104867779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104867779
Entity Type Individual
Full Name JENNIFER J KELLY
Credential DO
Practice Address 62 Tilley Dr Ste 202
South Burlington
VT 05403-4407
Practice Telephone (802) 847-4576
Practice Fax Number 8028474967
Mailing Telephone (802) 847-4576
Mailing Fax Number 8028474967
Enumeration Date 2006-06-08
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
032.0129312 VT Allopathic & Osteopathic Physicians
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
216420 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 02532745 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
111 Colchester Ave, Burlington, VT 054011473 8028470000

Other Providers JENNIFER KELLY

NPI Name Taxonomy Address Enumeration
1881216463 Jennifer Kelly Nurse Practitioner 7595 Affirmed Ct, Lewis Center, OH 43035-9143 2020-05-17
1790322758 Jennifer Lee Kelly Home Health Aide 4519 Stanbrook Dr, North Chesterfield, VA 23234-4021 2019-12-09
1396386744 Jennifer Eileen Kelly Specialist 2354 Ocean Ave, Ronkonkoma, NY 11779-6578 2019-10-07
1659936813 Jennifer Noel Kelly Behavior Technician 3287 N Mayfield Ave, San Bernardino, CA 92405-2627 2019-05-03
1851784284 Jennifer Kelly Occupational Therapy Assistant 1215 Gainsboro Rd, Bala Cynwyd, PA 19004-2014 2015-03-10
1952706699 Jennifer Kelly Pharmacist 1701 Welsh Rd Ste 5, Philadelphia, PA 19115-3172 2014-10-23
1750791257 Jennifer Kelly Psychologist 11 Brooklands Apt Gi, Bronxville, NY 10708-3512 2014-05-06
1851722995 Jennifer L. Kelly Speech-Language Pathologist 555 Anthony Wayne Trail, Waterville, OH 43566 2013-11-27
1144598343 Jennifer Elaine Kelly Physician Assistant 381 Park Avenue South, Suite 1020, New York, NY 10016 2011-12-02
1063789030 Jennifer Zucal Kelly Registered Nurse 215 E 5th St, Emporium, PA 15834-1417 2011-11-18

Office Location

Street Address 62 TILLEY DR STE 202
City SOUTH BURLINGTON
State VT
Zip Code 05403-4407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942556907 Juan Pablo Perdomo Rodriguez Internal Medicine 62 Tilley Dr Ste 202, South Burlington, VT 05403-4407 2012-07-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659938975 Josee-ann Guay Student in an Organized Health Care Education/Training Program 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 2019-05-22
1821556390 Alexander Taite Carpenter Specialist/Technologist 2069 Williston Road Ap #2, South Burlington, VT 05403 2019-03-04
1144732785 Molly Koch Parker Dietitian, Registered 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 2017-11-03
1497273007 Marlena Anya Pecora Acupuncturist 368 Dorset St # 3, South Burlington, VT 05403 2017-09-03
1467908525 Rinaben P Patel Pharmacist 39 Hinesburd Road, South Burlington, VT 05403 2016-08-29
1770949950 Tara Flor Chiropractor 30 Farrell St Ste 100, South Burlington, VT 05403 2016-01-04
1356716187 Frank Breen Counselor 163 Hinesburg Road, South Burlington, VT 05403 2015-12-04
1063808210 Lisa C Harrington Registered Nurse Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 2015-04-14
1083018626 Jessica Jablonski Speech-Language Pathologist 2 Baldwin Ave, South Burlington, VT 05403 2014-10-10
1538590567 Vasta Physical Therapy, Inc Physical Therapist 340 Dorset Street, Suite 2, South Burlington, VT 05403 2013-12-02
Find all providers in zip 05403

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073634531 Matthew Philip Gilbert Internal Medicine 3 Timber Ln, South Burlington, VT 05403-7205 2007-04-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871768010 Elliot Danforth Jr. Internal Medicine 84 Beartown Rd, Underhill, VT 05489-9365 2008-04-29
1821029166 John L. Glick Internal Medicine 19 Belmont Ave Ste 1205, Brattleboro, VT 05301-4004 2006-07-05
1659338085 Cesar H Magsino Jr. Internal Medicine 8 Albert Cree Dr, Rutland, VT 05701 2006-04-28
1922658921 Northwestern Medical Center, Inc. Internal Medicine 133 Fairfield St, Saint Albans, VT 05478-1726 2019-09-12
1184179103 Tina Kader Internal Medicine 111 Colchester Ave, Uvm Medical Center, Burlington, VT 05401-1473 2016-08-19
1710232467 Maria Jose Velasco Internal Medicine 130 Fisher Rd, Berlin, VT 05602-9516 2012-07-18
1598859480 John Lewis Leahy Internal Medicine 1 S Prospect St, 5th Floor - Endocrine, Burlington, VT 05401-3456 2006-10-03
1528162039 Barbara Anne O'mara Internal Medicine 215 N Main St, Va, White River Junction, VT 05009-0001 2006-09-13
1689778110 Andrew Jay Bauman Internal Medicine 215 N Main St, White River Junction, VT 05009-0001 2006-09-13
1154334142 Joel J Schnure Internal Medicine 1 S Prospect St, Uhc 5th Floor, Burlington, VT 05401-3456 2006-08-14
Find all providers with the same taxonomy

Competitor

Search similar providers

City SOUTH BURLINGTON
Zip Code 05403

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Dataset Information

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.

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