MS. JESSICA MOORE (NPI# 1508123159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508123159 |
| Entity Type | Individual |
| Full Name | MS. JESSICA MOORE |
| Credential | ATC |
| Practice Address |
Saint Michaels College One Winooski Park, Box 258 Colchester VT 05439-0001 |
| Mailing Address |
253 Bay Rd Shelburne VT 05482-7754 |
| Practice Telephone | 8023450263 |
| Mailing Telephone | 8023450263 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
104.0000089 | VT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395416 | Jessica Moore | Nurse Practitioner | 232 N Watt Rd, Knoxville, TN 37934-1103 | 2020-08-06 |
| 1578185773 | Jessica Moore | Counselor | 1143 White Pine Ct, Cincinnati, OH 45255-4747 | 2020-05-11 |
| 1225669310 | Jessica Moore | Student in an Organized Health Care Education/Training Program | 1800 W 35th St, Austin, TX 78703-1323 | 2020-01-28 |
| 1083269559 | Jessica M Moore | Physician Assistant | Clements University Hospital 6201 Harry Hines Blvd, Dallas, TX 75390-6413 | 2019-08-01 |
| 1053873489 | Jessica Moore | Counselor | 550 Pinetown Rd Ste 150, Fort Washington, PA 19034-2612 | 2019-04-04 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1790167773 | Jessica Moore | Counselor | 3445 Dethman Ridge Road, Hood River, OR 97031 | 2015-06-25 |
| 1912324484 | Jessica Moore | Psychologist | 1286 S Linden Rd Ste B, Flint, MI 48532-3457 | 2014-03-24 |
| 1992148688 | Jessica Renee Moore | Psychiatry & Neurology | 6363 Forest Park Rd 7th Flste 749, Dallas, TX 75390-7708 | 2013-04-11 |
| Street Address |
SAINT MICHAELS COLLEGE ONE WINOOSKI PARK, BOX 258 |
| City | COLCHESTER |
| State | VT |
| Zip Code | 05439-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669614368 | Mary Claire Masson | Nurse Practitioner | One Winooski Park, St. Michael's College Student Health Services, Colchester, VT 05439 | 2009-03-27 |
| 1952550691 | Susan Fagan Barry | Nurse Practitioner | St Michaels College Health, Smc Pob 259, Colchester, VT 05439-0001 | 2008-09-18 |
| 1629038344 | Elizabeth Ellen D'elia | Specialist/Technologist | Saint Michael's College, One Winooski Park, Box258, Colchester, VT 05439-0001 | 2006-03-25 |
| 1487636288 | Louise Moon Rosales | Nurse Practitioner | 1 Winooski Park, Colchester, VT 05439-0001 | 2005-11-17 |
| 1659353894 | Susan Diana Jacques | Nurse Practitioner | 1 Winooski Park Smc Box 259, Saint Michael's College, Colchester, VT 05439-0001 | 2005-11-15 |
| 1528280682 | Molly Caroline Millwood | Psychologist | 29 Ethan Allen Ave, Suite 326b, Colchester, VT 05439-0001 | 2007-05-02 |
| 1538293907 | Gayle I Botelho | Specialist/Technologist | 1 Winooski Park, Colchester, VT 05439-0001 | 2007-03-15 |
| 1679769798 | Jane A Luria | Nurse Practitioner | 1 Winooski Park, Colchester, VT 05439-6491 | 2007-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130157 | Justin Michael Boufford | Pharmacist | 218 Lower Mountian View Dr., Colchester, VT 05446 | 2020-09-24 |
| 1780290882 | Jacob Chwiedz | Physical Therapist | 179 Linwood Ave Unit A-4, Colchester, CT 06415-1160 | 2020-09-23 |
| 1851906135 | Brendan Copley | Specialist/Technologist | 352 Belair Dr, Colchester, VT 05446-6544 | 2020-09-13 |
| 1548874555 | Bryan Wilkinson | Social Worker | 123 Meadow Dr, Colchester, VT 05446-6422 | 2020-09-08 |
| 1922617885 | Cody W Brown | Chiropractor | 261 Mountain View Dr Ste 401, Colchester, VT 05446-8047 | 2020-07-27 |
| 1215553730 | Maura Powers | Nurse Practitioner | 33 Farm Gate Rd, Colchester, CT 06415-2622 | 2020-06-20 |
| 1588289664 | Jillian Thompson | Speech-Language Pathologist | 156 Chimney Hill Dr, Colchester, VT 05446-7364 | 2020-06-14 |
| 1558984583 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 948 Hercules Dr, Colchester, VT 05446-5976 | 2020-05-26 |
| 1336760339 | Amela Graco | Counselor | 108 Kathleen Ln, Colchester, VT 05446-7999 | 2020-04-30 |
| 1174154991 | The Vermont Center for Responder Wellness | Social Worker | 162 Hegeman Avenue, Suite 100, Colchester, VT 05446 | 2020-01-30 |
| Find all providers in COLCHESTER | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906135 | Brendan Copley | Specialist/Technologist | 352 Belair Dr, Colchester, VT 05446-6544 | 2020-09-13 |
| 1205345212 | Kayla Donovan | Specialist/Technologist | 611 Norwich Ave, Colchester, CT 06415-2142 | 2017-09-21 |
| 1821535204 | Zoe Walsh | Specialist/Technologist | 131 Laker Ln, Colchester, VT 05446 | 2017-01-24 |
| 1629038344 | Elizabeth Ellen D'elia | Specialist/Technologist | Saint Michael's College, One Winooski Park, Box258, Colchester, VT 05439-0001 | 2006-03-25 |
| 1932473642 | John Bruss | Specialist/Technologist | 441 Watertower Cir, Suite 100, Colchester, VT 05446-5801 | 2012-02-27 |
| 1861657371 | John P Burke | Specialist/Technologist | 905 Roosevelt Hwy, Suite 100, Colchester, VT 05446-4475 | 2008-07-23 |
| 1538293907 | Gayle I Botelho | Specialist/Technologist | 1 Winooski Park, Colchester, VT 05439-0001 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990238 | Ashton Elizabeth Matthews | Specialist/Technologist | 33 Pheasant Way, S Burlington, VT 05403-7806 | 2020-10-18 |
| 1609474600 | Reilly Merrill | Specialist/Technologist | 32 Regina Ln, Chester, VT 05143-9211 | 2020-10-12 |
| 1093328049 | Rylee Nichols | Specialist/Technologist | 1083 Middle Road, North Clarendon, VT 05759-9440 | 2020-08-28 |
| 1033731575 | Courtney Amell | Specialist/Technologist | 139 Freeman Rd, Northfield, VT 05663-6203 | 2020-05-06 |
| 1336760073 | Zachary Victor Royer | Specialist/Technologist | 117 Baxter Ln, Brownington, VT 05860-9589 | 2020-05-05 |
| 1255963989 | Jordan Addie Del Bianco | Specialist/Technologist | 898 Grover Dr, Rutland, VT 05701-6645 | 2020-02-11 |
| 1992343313 | Melissa Nicklaw | Specialist/Technologist | 1351 Us Route 7, Leicester, VT 05733-9497 | 2019-12-16 |
| 1477190320 | Jordan Hines | Specialist/Technologist | 14 Killoran Dr, Essex Junction, VT 05452-4607 | 2019-12-10 |
| 1255976551 | Stephen Robert Green | Specialist/Technologist | 1515 Lee Rd, Guilford, VT 05301-8520 | 2019-11-10 |
| 1023651866 | Andrew John Nadeau | Specialist/Technologist | 192 Park St Unit 1, Burlington, VT 05401-5118 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | COLCHESTER |
| Zip Code | 05439 |
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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.