TRISHA MAE BULLARD (NPI# 1114333093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114333093 |
| Entity Type | Individual |
| Full Name | TRISHA MAE BULLARD |
| Other Name | TRISHA MAE JEWELL |
| Credential | PA-C, PTA |
| Practice Address |
1315 Hospital Dr St Johnsbury VT 05819 |
| Mailing Address |
128 Woodland Dr Barre VT 05641-3317 |
| Practice Telephone | 8027488141 |
| Mailing Telephone | 8022742421 |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | 1054 | NH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
055.0031399 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4780 Us Rte 5 N, St Johnsbury, VT 058199049 | 8022742421 |
| Street Address |
1315 HOSPITAL DR |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531477 | Robert J Grant | Emergency Medicine | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2005-07-12 |
| 1083245963 | Kevin M Crawley | Dietitian, Registered | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2020-01-30 |
| 1942778717 | Jessica Foulke | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2018-11-08 |
| 1548770191 | Courtenay Allen Lahey | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-10-10 |
| 1013430511 | Northeastern Vermont Regional Hospital, Inc | Internal Medicine | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-07-18 |
| 1386184372 | Kelly Lemieux | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-02-24 |
| 1073973236 | Jennifer K Winings | Physician Assistant | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1154781268 | Nicholas Delaney | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1003275397 | Katherine A. Harris | Social Worker | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-02-16 |
| 1386001345 | Leah Marie Pearl | Nurse Anesthetist, Certified Registered | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073973236 | Jennifer K Winings | Physician Assistant | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1316958622 | Keith Ruede | Physician Assistant | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-08-11 |
| 1497766711 | Joseph W Prescott | Physician Assistant | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
| 1891963179 | Nicole Ernst | Physician Assistant | 555 Washington Highway, Mansfield Orthopedics @ Copley, Morrisville, VT 05661-8972 | 2008-02-20 |
| 1861457806 | Kathleen Thayer Maloney | Physician Assistant | Fahc, 111 Colchester Ave, Burlington, VT 05401-1063 | 2006-04-20 |
| 1538708789 | Sarah Allison Mccabe | Physician Assistant | 1315 Hospital Dr, Saint Johnsbury, VT 05819-9210 | 2020-01-04 |
| 1255849840 | Lisa Ann Eberwein | Physician Assistant | 6 Commons St, Rutland, VT 05701-4651 | 2018-01-17 |
| 1760922454 | Kyle C Craven | Physician Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2017-03-01 |
| 1669911483 | Jennifer A. O'connor | Physician Assistant | 192 Tilley Dr., Uvm Medical Center - Ortho/spine, S. Burlington, VT 05403 | 2017-02-13 |
| 1972935385 | Timothy Michael Balise | Physician Assistant | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2013-08-07 |
| 1396089751 | Michael P. Higgins | Physician Assistant | 111 Colchester Ave, Uvm Medical Center - Surgery/ct & Trauma, Burlington, VT 05401-1473 | 2012-11-23 |
| 1891086518 | Sara T. Child | Physician Assistant | 6 San Remo Dr., Uvm Medical Center - Orthopedics, S. Burlington, VT 05403-6310 | 2011-04-28 |
| Find all providers with the same taxonomy | ||||
| City | ST JOHNSBURY |
| Zip Code | 05819 |
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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.