MISS JENNIFER M SHUART (NPI# 1790980746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790980746 |
| Entity Type | Individual |
| Full Name | MISS JENNIFER M SHUART |
| Credential | LICSW, PMHNP-BC |
| Practice Address |
218 East Rd Hampstead NH 03841-2305 |
| Mailing Address |
81 Marshland St Haverhill MA 01830-3316 |
| Practice Telephone | 6172833305 |
| Mailing Telephone | 6172833305 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2018-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
114969 | MA | Behavioral Health & Social Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
078416-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110027964A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 161 Jackson St, Lowell, MA 018522103 | 9789379700 | |
| 218 East Rd, Hampstead, NH 038412305 | 6172833305 |
| Street Address |
218 EAST RD |
| City | HAMPSTEAD |
| State | NH |
| Zip Code | 03841-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134104722 | Bienvenido L Manzanero | Psychiatry & Neurology | 218 East Rd, Hampstead, NH 03841-2305 | 2005-12-07 |
| 1174939797 | Luke Miller | Psychiatry & Neurology | 218 East Rd, Hampstead, NH 03841-5303 | 2014-07-02 |
| 1750656450 | Patricia E Shea | Psychologist | 218 East Rd, Hampstead, NH 03841-2305 | 2012-03-13 |
| 1528347663 | Psychiatrist Hampstead | Psychiatry & Neurology | 218 East Rd, Hampstead, NH 03841-2305 | 2011-08-08 |
| 1952450082 | Hampstead Outlook Inc. | Psychiatric Hospital | 218 East Rd, Hampstead, NH 03841-2305 | 2007-01-09 |
| 1972565729 | Bradley S Reynolds | Psychologist | 218 East Rd, Hampstead Hospital, Hampstead, NH 03841-2305 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851791 | Vijayakanthan Psychiatric Services, LLC | Psychiatry & Neurology | 218 East Road, Hampstead, NH 03841 | 2020-02-03 |
| 1245751015 | Kelly A Lord | Nurse Practitioner | East Road, Hampstead Hospital, Hampstead, NH 03841 | 2017-07-03 |
| 1164798617 | Marina Ghayathrie Vijayakanthan | Psychiatry & Neurology | 218 East Road Hampstead Hospital, Hampstead, NH 03841 | 2012-03-29 |
| 1780841700 | Alliance Home Healthcare Inc | Home Health | 20 Mary Clark Drive, Suite 7, Hampstead, NH 03841 | 2008-05-19 |
| 1548475841 | Hampstead Central School | Local Education Agency (LEA) | 21 Emerson Avenue, Hampstead Central School, Hampstead, NH 03841 | 2007-05-11 |
| 1497882120 | Tammy Marie Wilson | Registered Nurse | 10 Jody Lane, Hampstead, NH 03841 | 2007-02-28 |
| 1629350491 | Robin Cafazzo | Pharmacist | 167 Broadway, Salem, NH 03841 | 2011-09-16 |
| 1801946132 | William Arthur King IIi | Dentist | 10 Main Street, Hampstead, NH 03841 | 2007-01-11 |
| 1922168392 | Dr William A King Dds | Dentist | 10 Main Street, Hampstead, NH 03841 | 2006-12-08 |
| 1265078034 | Hampstead Smiles Pllc | Dentist | 10 Main St, Hampstead, NH 03841-2032 | 2019-11-26 |
| Find all providers in zip 03841 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245751015 | Kelly A Lord | Nurse Practitioner | East Road, Hampstead Hospital, Hampstead, NH 03841 | 2017-07-03 |
| 1255727830 | Serena Verolla, Pllc | Nurse Practitioner | 2 Village Green Rd, Bldg 2 Suite B3, Hampstead, NH 03841-5209 | 2015-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444260 | Shine Psychiatry | Nurse Practitioner | 16 Route 111 Ste 4, Derry, NH 03038-4142 | 2020-10-13 |
| 1255949129 | Northstar Psychiatric Health Pllc | Nurse Practitioner | 380 Lafayette Rd Unit 11-121, Seabrook, NH 03874-4551 | 2020-07-16 |
| 1740800028 | Julie Cunningham Psychiatric Services Pllc | Nurse Practitioner | 17 Windham Rd, Pelham, NH 03076-2371 | 2020-04-16 |
| 1811535008 | Dawn of A New Day Mental Health, Pllc | Nurse Practitioner | 250 Commercial St Ste 2100, Manchester, NH 03101-1142 | 2019-12-18 |
| 1912544008 | Onward Psychiatry, LLC | Nurse Practitioner | 2 Ash St, Hollis, NH 03049-6548 | 2019-12-08 |
| 1669036638 | Lisa Williams Aprn Pllc | Nurse Practitioner | 16 Vista Ridge Dr Unit 219, Londonderry, NH 03053-2479 | 2019-04-25 |
| 1609347087 | Psychiatric Empowerment Services, Pllc | Nurse Practitioner | 76 Northeastern Blvd Ste Office1b, Nashua, NH 03062-3174 | 2018-12-11 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1144732074 | Altum Psychiatric Services, Pllc | Nurse Practitioner | 1 Bridge St Ste 210, Plymouth, NH 03264-1623 | 2017-11-01 |
| 1881104826 | Progressive Psychiatric Services, Pllc | Nurse Practitioner | 771 Chestnut Street, Manchester, NH 03104-3011 | 2017-10-04 |
| 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.