UPPER VALLEY PEDIATRICS, PLLC (NPI# 1477935716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477935716 |
| Entity Type | Organization |
| Organization Name | UPPER VALLEY PEDIATRICS, PLLC |
| Practice Address |
331 Upper Pln Bradford VT 05033-9207 |
| Practice Telephone | 8022224722 |
| Practice Fax Number | 8022224709 |
| Mailing Telephone | 8022224722 |
| Mailing Fax Number | 8022224709 |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | MRS. REBECCA L. YUKICA (D.O./PRACTICE OWNER) |
| Authorized Official Telephone | 8022224722 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982884284 | Upper Valley Pediatrics, Pllc | Pediatrics | 615 E University Dr, Edinburg, TX 78539-3626 | 2007-11-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | UPPER VALLEY PEDIATRICS, PLLC | 331 Upper Plain, Bradford, VT 05033 |
| Street Address |
331 UPPER PLN |
| City | BRADFORD |
| State | VT |
| Zip Code | 05033-9207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651048 | Reginald Henry Jones | Optometrist | 331 Upper Pln, Bradford, VT 05033-9207 | 2005-06-28 |
| 1912358532 | Sara Lam | Nurse Practitioner | 331 Upper Pln, Bradford, VT 05033-9207 | 2016-06-24 |
| 1861807059 | Bradford Optical, Plc | Optometrist | 331 Upper Pln, Bradford, VT 05033-9207 | 2014-06-25 |
| 1861822538 | Amanda B Cohen | Nurse Practitioner | 331 Upper Pln, Bradford, VT 05033-9207 | 2013-11-18 |
| 1992002513 | Heather Toulmin | Counselor | 331 Upper Pln, Bradford, VT 05033-9207 | 2011-02-16 |
| 1538478839 | Gloria Arbogast | Counselor | 331 Upper Pln, Bradford, VT 05033-9207 | 2010-10-04 |
| 1134354251 | Reginald H Jones Od | Optometrist | 331 Upper Pln, Bradford, VT 05033-9207 | 2009-05-19 |
| 1467610378 | Alexandria L Noble | Nurse Practitioner | 331 Upper Pln, Bradford, VT 05033-9207 | 2008-05-28 |
| 1366614539 | Kathleen Schiffman | Counselor | 331 Upper Pln, Bradford, VT 05033-9207 | 2008-03-28 |
| 1558560490 | Rebecca Leigh Yukica | Pediatrics | 331 Upper Pln, Bradford, VT 05033-9207 | 2007-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306215371 | Lynn Irwin | Psychoanalyst | 331 Upper Plain (u.s Route 5), Bradford Medical Center, Bradford, VT 05033 | 2015-09-21 |
| 1083907281 | Demetra S Hazatones | Counselor | 1483 Lower Plain, Bradford, VT 05033 | 2011-05-20 |
| 1841319043 | Douglas Marr Speck | Psychologist | 540 Route 5 South, Bradford, VT 05033 | 2007-03-28 |
| 1649353731 | Jessie Reynolds | Family Medicine | 437 South Main Street, Bradford, VT 05033 | 2006-10-23 |
| 1912087867 | Lisa K Jensen | Midwife | 331 Upper Plain, Bradford, VT 05033 | 2006-10-16 |
| 1134209083 | Nancy Ryan Foote | Nurse Practitioner | 331 Upper Plain Suite 1, Upper Plain, Bradford, VT 05033 | 2006-10-16 |
| 1073607644 | Lora Oakes Chatfield | Advanced Practice Midwife | 23 Upper Plain, Bradford, VT 05033 | 2006-10-03 |
| 1851407118 | Margarethe M Chobanian | Pediatrics | 437 South Main St, Bradford, VT 05033 | 2006-08-21 |
| 1225401219 | Travis Ryan Gross | Pharmacist | 901 Lower Pln, Bradford, VT 05033 | 2015-11-12 |
| 1396115218 | Bonnie W. Irwin | Psychoanalyst | 331 Upper Plain, Bradford Medical Center, Bradford, VT 05033 | 2015-10-05 |
| Find all providers in zip 05033 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083759708 | Frederick C Holmes | Pediatrics | 11 Crest Rd, Saint Albans, VT 05478-9701 | 2007-02-20 |
| 1770682106 | Miriam Blodgett Tatum | Pediatrics | 159 Main Street, Derby Line, VT 05830 | 2006-09-22 |
| 1053369017 | Harold Taylor Yates Jr. | Pediatrics | 91 S Main St, St Albans, VT 05478-2209 | 2006-05-04 |
| 1881253714 | Gussie Belisle | Pediatrics | 44 Collins Dr Ste 202, Middlebury, VT 05753-8502 | 2019-06-13 |
| 1699335547 | Dayna Stimson | Pediatrics | 44 Collins Dr Ste 202, Middlebury, VT 05753-8502 | 2019-06-13 |
| 1366641086 | Gregory Connolly | Pediatrics | 128 Lakeside Ave, Suite 115, Burlington, VT 05401-4939 | 2007-07-12 |
| 1336278092 | Mousetrap Pediatrics PC | Pediatrics | 11 Crest Rd, Saint Albans, VT 05478-9701 | 2007-03-05 |
| 1215065032 | Deanne Haag | Pediatrics | 11 Crest Rd, Saint Albans, VT 05478-9701 | 2007-03-01 |
| 1275661092 | Heidi Zvolensky | Pediatrics | 11 Crest Rd, Saint Albans, VT 05478-9701 | 2007-03-01 |
| 1073641890 | Roya Mansoorani | Pediatrics | 11 Crest Rd, Saint Albans, VT 05478-9701 | 2007-03-01 |
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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.