JENNIFER ETHERIDGE (NPI# 1417344250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417344250 |
| Entity Type | Individual |
| Full Name | JENNIFER ETHERIDGE |
| Credential | L.AC. |
| Practice Address |
4 Summer St Randolph VT 05060-1175 |
| Mailing Address |
17 Summer St Randolph VT 05060-1162 |
| Practice Telephone | 8022467750 |
| Mailing Telephone | 8022467750 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 091.0098544 | VT | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144784372 | Jennifer Simpson Etheridge | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-22 |
| 1164611299 | Jennifer M Etheridge | Nurse Practitioner | 500 S Cleveland Ave, Westerville, OH 43081-8971 | 2007-10-15 |
| Street Address |
4 SUMMER ST |
| City | RANDOLPH |
| State | VT |
| Zip Code | 05060-1175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558495473 | Leslie Claire Howard-mcintyre | Counselor | 4 Summer St, Suite 2, Randolph, VT 05060-1175 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497003099 | Courtney Austin | Pharmacist | 12 North Main St., Randolph, VT 05060 | 2012-08-29 |
| 1851467658 | John Leonard Westbrook | Dentist | 1422 Vt Rt 66, Randolph, VT 05060 | 2006-11-27 |
| 1750470829 | Christopher Mclean Wilson | Dentist | 55 Central Street, Randolph, VT 05060 | 2006-10-12 |
| 1538170006 | Eric C Medved | Physical Therapist | 44 South Main Street, Randolph, VT 05060 | 2006-08-10 |
| 1295100048 | Ashley Shepard | Counselor | 11 N Main St, Randolph, VT 05060 | 2015-12-04 |
| 1326434713 | Emilija O Florance | Family Medicine | 44 S Main St, Randolph, VT 05060 | 2015-04-13 |
| 1891117545 | Penny Fossman | Registered Nurse | 44 S Main St, Randolph, VT 05060 | 2014-01-15 |
| 1053679266 | Clara Martin Center | Community/Behavioral Health | 11 Main Street, Randolph, VT 05060 | 2012-04-25 |
| 1770840829 | Andrea L. Larosa | Nurse Practitioner | 44 South Main Street, Box 2000, Randolph, VT 05060 | 2012-04-13 |
| 1043498561 | Jessica Schupp | Counselor | 11 Main Street, Randolph, VT 05060 | 2008-02-06 |
| Find all providers in zip 05060 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053815100 | Lauren Jennifer Kaplan | Acupuncturist | 477 Route 10 Ste 206, Randolph, NJ 07869-2147 | 2018-03-22 |
| 1770651507 | Nancy G Trusz | Acupuncturist | Acupuncture Serv of Randolph, 24 South Main Street, Randolph, MA 02368 | 2006-12-01 |
| 1548829815 | Brittany Mekeel | Acupuncturist | 540 Route 10 W, Randolph, NJ 07869-2026 | 2019-06-11 |
| 1033658901 | Elise Walsh Bennett | Acupuncturist | 43 S Main St, Randolph, VT 05060-1363 | 2017-02-13 |
| 1063780344 | Lara Dionne Beneshan | Acupuncturist | 540 Route 10 W, Randolph, NJ 07869-2026 | 2011-12-01 |
| 1114110137 | Christopher Edward Hollis | Acupuncturist | 43 S Main St, Randolph, VT 05060-1363 | 2007-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535438 | Bryan Rouse | Acupuncturist | 503 White Pine Drive, South Londonderry, VT 05155 | 2019-12-13 |
| 1346735529 | Mary Justine Hall | Acupuncturist | 54 W Twin Oaks Ter Ste 13, South Burlington, VT 05403-7141 | 2018-06-29 |
| 1396252714 | Olga Maria Mardach-duclerc | Acupuncturist | 1099 Cochran Rd, Morrisville, VT 05661-8265 | 2018-01-08 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1093246431 | Quinn Caya | Acupuncturist | 147 State St, Montpelier, VT 05602-3301 | 2017-03-27 |
| 1417497900 | Hanna Curry Defuria | Acupuncturist | 30 Cross Pkwy, Burlington, VT 05408-2413 | 2017-03-02 |
| 1902343098 | 12 Red Hammers LLC | Acupuncturist | 446 Williams St, Brattleboro, VT 05301-6236 | 2017-01-26 |
| 1376085340 | Lara Foy | Acupuncturist | 401 Parkway St, Montpelier, VT 05602-2862 | 2016-11-08 |
| 1194275255 | Patricia Joan Mitchell | Acupuncturist | 479 Beaver Creek Rd, Shelburne, VT 05482-6952 | 2016-10-12 |
| 1811445158 | Elizabeth Bloomfield | Acupuncturist | 19 Freeman Ave, Rutland, VT 05701-4609 | 2016-09-15 |
| Find all providers with the same taxonomy | ||||
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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.