ETHAN HAZZARD-WATKINS (NPI# 1942859368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942859368 |
| Entity Type | Individual |
| Full Name | ETHAN HAZZARD-WATKINS |
| Practice Address |
51 Fairview Street Brattleboro VT 05301-6629 |
| Mailing Address |
390 River Street Springfield VT 05156-2226 |
| Practice Telephone | 8022546028 |
| Practice Fax Number | 8022547501 |
| Mailing Telephone | 8028864500 |
| Mailing Fax Number | 8028864560 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
097.0134560 | VT | Behavioral Health & Social Service Providers |
| Street Address |
51 FAIRVIEW STREET |
| City | BRATTLEBORO |
| State | VT |
| Zip Code | 05301-6629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689787673 | Paul D. Boutin | Psychiatry & Neurology | 51 Fairview Street, Brattleboro, VT 05301-6629 | 2006-08-16 |
| 1790391829 | Maya J. Shulman-ment | Counselor | 51 Fairview Street, Brattleboro, VT 05301-6629 | 2020-09-23 |
| 1932735776 | Traci L Bartlett | Counselor | 51 Fairview Street, Brattleboro, VT 05301-6629 | 2020-03-12 |
| 1962048975 | Alexandra C. Keep | Counselor | 51 Fairview Street, Brattleboro, VT 05301-6629 | 2019-11-25 |
| 1518510403 | Emma R Sheldon | Counselor | 51 Fairview Street, Brattleboro, VT 05301-6629 | 2019-07-19 |
| 1821561663 | Crystal O'brien | Counselor | 51 Fairview Street, Brattleboro, VT 05301 | 2019-01-04 |
| 1902377641 | David A. Bingham | Counselor | 51 Fairview Street, Brattleboro, VT 05301 | 2018-12-06 |
| 1316414774 | Deborah L Shaw | Registered Nurse | 51 Fairview Street, Brattleboro, VT 05301 | 2018-10-24 |
| 1215413752 | Kimberley A. Lord | Behavioral Analyst | 51 Fairview Street, Brattleboro, VT 05301 | 2018-07-18 |
| 1629589056 | Elizabeth R. Harris | Counselor | 51 Fairview Street, Brattleboro, VT 05301 | 2017-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575372 | Roberta M. White | Psychologist | 72 Whetstone Rd, Brattleboro, VT 05301 | 2019-06-03 |
| 1225526940 | Audrey Johnston | Nurse Practitioner | Brattleboro Family Medicine, 53 Fairview Street, Brattleboro, VT 05301 | 2018-04-27 |
| 1811349582 | Jillian Barney | Physician Assistant | 17 Belmont Ave Richards Building (1st Floor), Barttleboro, VT 05301 | 2016-07-06 |
| 1326413899 | Gabriella Neacsu Katz | Nurse Practitioner | 1860 Weatherhead Hollow Rd, Guilford, VT 05301 | 2015-12-09 |
| 1942608914 | Kathryn Peterson | Registered Nurse | 105 Winter St Apt 2, Brattleboro, VT 05301 | 2014-12-08 |
| 1558762823 | Saryn T Lauzon | Registered Nurse | 2 Maplewood Drive, Brattleboro, VT 05301 | 2014-09-05 |
| 1912248691 | Robert Joseph Stack | Counselor | 1 Linden Street, Brattleboro, VT 05301 | 2013-03-06 |
| 1053651760 | Christopher M. Deszynski | Naturopath | 73 Main St Ste 4, Brattleboro, VT 05301 | 2013-02-18 |
| 1518236355 | Christine Hamrin | Licensed Practical Nurse | 54 Spruce Street, Brattleboro, VT 05301 | 2011-12-23 |
| 1881924934 | Margrit C. Mikulis | Naturopath | 147 Orchard St, Brattleboro, VT 05301 | 2010-01-12 |
| Find all providers in zip 05301 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598833774 | James F Olson | Counselor | 212 Fox Farm Rd, Brattleboro, VT 05301-9135 | 2006-12-04 |
| 1619042926 | Laura Moody Hoskins | Counselor | 70 Orchard St, Brattleboro, VT 05301-2678 | 2006-11-21 |
| 1790391829 | Maya J. Shulman-ment | Counselor | 51 Fairview Street, Brattleboro, VT 05301-6629 | 2020-09-23 |
| 1962048975 | Alexandra C. Keep | Counselor | 51 Fairview Street, Brattleboro, VT 05301-6629 | 2019-11-25 |
| 1235771338 | Mary E. Mihuta | Counselor | 51 Fairview St, Brattleboro, VT 05301-6629 | 2019-10-10 |
| 1821561663 | Crystal O'brien | Counselor | 51 Fairview Street, Brattleboro, VT 05301 | 2019-01-04 |
| 1962838904 | Grace Janove | Counselor | 51 Fairview Street, Brattleboro, VT 05301-6629 | 2013-09-23 |
| 1568772184 | Tall Trees Associates | Counselor | 167 Main St, Suite 304, Brattleboro, VT 05301-7128 | 2010-10-16 |
| 1376619940 | Gloria Elaine Schreiner | Counselor | 51 Fairview Street, Brattleboro, VT 05301 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029474 | Evan Waldman | Counselor | 275 Vt 15 W, Johnson, VT 05656-9657 | 2019-12-02 |
| 1760036339 | Richard R. Wrase | Counselor | 94 Westminster Terrace, Bellows Falls, VT 05101 | 2019-07-31 |
| 1295209120 | Kathleen Mccarthy | Counselor | 201 Sunset Dr, Morrisville, VT 05661-8591 | 2019-01-14 |
| 1083006324 | Kristy Wrigley | Counselor | 655 Smugglers View Rd, Jeffersonville, VT 05464-9507 | 2015-02-24 |
| 1497909063 | Janet Ellen Sluzenski | Counselor | 215 Berlin St, Montpelier, VT 05602-3702 | 2008-11-10 |
| 1689792582 | Heather Findlay | Counselor | 841 Us Route 5 N, Windsor, VT 05089-9693 | 2007-03-27 |
| 1861555922 | Eva Simon | Counselor | 20 West Canal St, Woolen Mill Offices, Winooski, VT 05404 | 2006-12-19 |
| 1881204543 | Katelyn M. Capra | Counselor | 390 River St, Springfield, VT 05156-2226 | 2020-08-06 |
| 1154939445 | Sarah E. Lyon | Counselor | 390 River Street, Springfield, VT 05156-2226 | 2020-07-22 |
| 1851924948 | Julia Stifler | Counselor | 708 Route 30, Newfane, VT 05345 | 2020-02-17 |
| Find all providers with the same taxonomy | ||||
| City | BRATTLEBORO |
| Zip Code | 05301 |
Please comment or provide details below to improve the information on ETHAN HAZZARD-WATKINS.
| 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.