DR. LAURA LEA JETT (NPI# 1114013794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114013794 |
| Entity Type | Individual |
| Full Name | DR. LAURA LEA JETT |
| Credential | M.D. |
| Practice Address |
36 Essex Rd Lahey Health Primary Care, Ipswich Ipswich MA 01938-2599 |
| Practice Telephone | 9783565522 |
| Mailing Telephone | 9783565522 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 257310 | MA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 015052 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 135160099 | 05 | |
| MA | 110102085A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316323843 | Laura Jett | Counselor | 9617 69th Ave, Forest Hills, NY 11375-5139 | 2015-08-06 |
| Street Address |
36 ESSEX RD LAHEY HEALTH PRIMARY CARE, IPSWICH |
| City | IPSWICH |
| State | MA |
| Zip Code | 01938-2599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366495749 | Marisa Modini Bochman | Family Medicine | 36 Essex Rd, Ipswich, MA 01938-2599 | 2006-05-18 |
| 1861808354 | Kristin Passeri | Nurse Practitioner | 36 Essex Rd, Lahey Health Primary Care Ipswich, Ipswich, MA 01938-2599 | 2014-07-07 |
| 1093064164 | Mary F Higgins | Nurse Practitioner | 36 Essex Rd, Lahey Ipswich, Ipswich, MA 01938-2599 | 2012-09-05 |
| 1669758397 | Mary M. Bazylewicz | Social Worker | 36 Essex Rd, Ipswich, MA 01938-2599 | 2011-10-26 |
| 1497037105 | Lisa Gelormini | Social Worker | 36 Essex Rd, Lahey Ipswich, Ipswich, MA 01938-2599 | 2011-09-20 |
| 1588824601 | Kathleen Townes | Internal Medicine | 36 Essex Rd, Lahey Ipswich, Ipswich, MA 01938-2599 | 2008-06-12 |
| 1477602209 | Eugene J. Boss | Internal Medicine | 36 Essex Rd, Lahey Ipswich, Ipswich, MA 01938-2599 | 2007-01-10 |
| 1376559849 | Julie Clifford Smail | Internal Medicine | 36 Essex Rd, Ipswich, MA 01938-2599 | 2006-08-01 |
| 1700890241 | Kenneth L Zinn | Internal Medicine | 36 Essex Rd, Ipswich, MA 01938-2599 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019446 | Appleton Eye Associates PC | Optometrist | 21 Market Street, Suite 100, Ipswitch, MA 01938 | 2020-10-08 |
| 1093297442 | Geraldine E Gomery | Social Worker | 6 Stage Hill Road, Ipswich, MA 01938 | 2018-09-02 |
| 1336665041 | Kristen Caggiano | Physical Therapist | 73 Turnpike Rd, Unit 1a Bldgc, Ipswich, MA 01938 | 2017-08-15 |
| 1437548948 | Shabana Mohamed | Social Worker | Lahey Health Primary Care, Ipswich, 36 Essex Road, Ipswich, MA 01938 | 2015-01-21 |
| 1700281771 | Brian Calandra | Physical Therapist | 3 Dix Rd, Ipswich, MA 01938 | 2014-11-03 |
| 1023237153 | Michael P Arsenault | Acupuncturist | Internal Arts Acupuncture, 77 Turnpike Road - Rt. #1, Ipswich, MA 01938 | 2007-04-25 |
| 1629123542 | Jane M Woodman | Clinical Nurse Specialist | Appleton Building 2 No Main St Suite 3, Ipswich, MA 01938 | 2007-01-23 |
| 1417043118 | Paul S. Scioli | Chiropractor | 130 County Rd., Suite L., Ipswich, MA 01938 | 2006-10-04 |
| 1821181561 | Rita V Kelleher | Occupational Therapist | 30 Jeffrey's Neck Road, Ipswich, MA 01938 | 2006-10-02 |
| 1619956794 | Lisa Ann Traveis | Optometrist | 21 Market Street, Ste. 100, Ipswich, MA 01938 | 2006-01-17 |
| Find all providers in zip 01938 | ||||
| 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 |
|---|---|---|---|---|
| 1558624668 | Avera St. Luke's | Family Medicine | 501 Bloemendaal Drive, Ipswich, SD 57451 | 2012-06-22 |
| 1275613903 | John D Abramson | Family Medicine | 39 Spring St, Ipswich, MA 01938-1357 | 2006-10-17 |
| 1366460883 | Brian S Alper | Family Medicine | 10 Estes St, Ipswich, MA 01938-2106 | 2006-07-17 |
| 1962459842 | Sanford Health Network | Family Medicine | 110 5th Ave, Ipswich, SD 57451-2038 | 2006-05-27 |
| 1366495749 | Marisa Modini Bochman | Family Medicine | 36 Essex Rd, Ipswich, MA 01938-2599 | 2006-05-18 |
| 1033115175 | Erin F Heiskell | Family Medicine | 130 County Rd, Ipswich, MA 01938-2585 | 2005-06-23 |
| 1184611535 | Aimee June Hromadka | Family Medicine | 130 County Rd, Beacon Family Medicine, Cable Professional Building, Ipswich, MA 01938-2550 | 2005-09-30 |
| 1356347405 | Curtis P Ersing | Family Medicine | 130 County Rd, Ipswich, MA 01938-2585 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966806 | Eliana Decastro Cuellar | Family Medicine | 1030 President Ave Ste 1001, Fall River, MA 02720-5923 | 2020-09-12 |
| 1386260594 | Form Health Associates (ma), P.C. | Family Medicine | 179 Lincoln St Ste 404, Boston, MA 02111-2425 | 2020-06-23 |
| 1043835044 | Form Health Associates, P.C. | Family Medicine | 179 Lincoln St Fl 4, Boston, MA 02111-2424 | 2020-06-15 |
| 1588290324 | Lighthouse Primary Care PC | Family Medicine | 315 Main St Ste 101, North Reading, MA 01864-1326 | 2020-03-12 |
| 1730714106 | Berkshire Whole Health PC | Family Medicine | 8 Pine St, Stockbridge, MA 01262-9706 | 2020-03-06 |
| 1578100889 | Kelly Ramappa | Family Medicine | 96 Temple St, West Newton, MA 02465-2307 | 2019-12-05 |
| 1295372787 | Julie A Gil | Family Medicine | 114b Lelandville Rd, Charlton, MA 01507-6714 | 2019-12-04 |
| 1154962942 | Molly Rose Lodigiani | Family Medicine | 275 Cypress St Apt 105, Brookline, MA 02445-6774 | 2019-10-02 |
| 1699316539 | Luisa Alejandra Centeno Silva | Family Medicine | 4785 Washington St # 2, West Roxbury, MA 02132-2113 | 2019-10-02 |
| 1609427962 | Jessica Blanchard | Family Medicine | 100 Leominster Rd, Sterling, MA 01564-2156 | 2019-09-26 |
| 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.