JESSIE REYNOLDS (NPI# 1649353731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649353731 |
| Entity Type | Individual |
| Full Name | JESSIE REYNOLDS |
| Credential | MD |
| Practice Address |
437 South Main Street Bradford VT 05033 |
| Mailing Address |
Po Box 318 Bradford VT 05033-0318 |
| Practice Telephone | 8022225562 |
| Practice Fax Number | 8022229276 |
| Mailing Telephone | 8022229317 |
| Mailing Fax Number | 8022229276 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 14043 | NH | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 0420011598 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1015141 | 05 | |
| NH | 30207880 | 05 |
| Street Address |
437 SOUTH MAIN STREET |
| City | BRADFORD |
| State | VT |
| Zip Code | 05033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316165129 | Little Rivers Health Care, Inc. | Clinic/Center | 437 South Main Street, Bradford, VT 05033 | 2007-04-24 |
| 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 |
| 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 |
| 1679858690 | Pamela Sue Ashton | Counselor | 131 Main St., 2nd Fl Suite3, Bradford, VT 05033 | 2011-10-21 |
| Find all providers in zip 05033 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134604622 | Little Rivers Health Care, Inc. | Family Medicine | 36 Oxbow Dr, Bradford, VT 05033-9037 | 2018-10-01 |
| 1629012968 | Singh & Nadella | Family Medicine | 6 N Center St, Bradford, PA 16701-1903 | 2006-06-16 |
| 1245272525 | Bradford Family Medicine, Inc. | Family Medicine | 14 N 3rd St, Bradford, PA 16701-3335 | 2006-06-12 |
| 1366494536 | Venkateswara Rao Nadella | Family Medicine | 6 North Center Street, Bradford, PA 16701 | 2006-05-16 |
| 1669454591 | Frank A Oberti IIi | Family Medicine | 143 S Main St, Bradford, MA 01835-7438 | 2005-11-16 |
| 1679579536 | Glen C. Knowles | Family Medicine | 203 West Main Street, Bradford, AR 72020 | 2005-06-24 |
| 1922459361 | Nerissa Baptiste | Family Medicine | 116 Interstate Pkwy Ste 41, Bradford, PA 16701 | 2016-06-27 |
| 1730593377 | Banafsheh Lotfi Moghaddas | Family Medicine | 24 W Washington St, Bradford, PA 16701-1280 | 2014-06-11 |
| 1073956850 | Olean General Hospital | Family Medicine | 116 Interstate Pkwy, Suite 42, Bradford, PA 16701-1036 | 2013-04-11 |
| 1386873339 | Lakshmi Rao Polavarapu | Family Medicine | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2009-07-13 |
| Find all providers in BRADFORD | ||||
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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.