JESSICA JAWIDZIK (NPI# 1235790874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235790874 |
| Entity Type | Individual |
| Full Name | JESSICA JAWIDZIK |
| Practice Address |
4185 St George Rd Williston VT 05495-7695 |
| Mailing Address |
106 E Allen St Unit 402 Winooski VT 05404-2295 |
| Practice Telephone | 9045635277 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
53-79527-031 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
403061 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
113203 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
11007919 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
101.0134482 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209.019537 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 6704412 | 05 | |
| IL | I20190722002027 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 145 Pine Haven Shores Rd Ste 1000u, Shelburne, VT 054827812 | 8027310077 | 8027310109 |
| 4185 St George Rd, Williston, VT 054957695 | 8028795333 |
| Street Address |
4185 ST GEORGE RD |
| City | WILLISTON |
| State | VT |
| Zip Code | 05495-7695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689639742 | William Bentley Nash | Psychologist | 4185 St George Rd, Williston, VT 05495-7695 | 2006-04-19 |
| 1538768304 | Lux Telepsych Plc | Nurse Practitioner | 4185 St George Rd, Williston, VT 05495-7695 | 2020-10-22 |
| 1346700291 | Hummingbird Integrative Mental Wellness Initiative | Psychiatry & Neurology | 4185 St George Rd, Williston, VT 05495-7695 | 2019-03-25 |
| 1073911947 | Rebecca Brooklyn | Nurse Practitioner | 4185 St George Rd, Williston, VT 05495-7695 | 2014-12-09 |
| 1457645988 | Erin K. Hall, Md Pllc | Psychiatry & Neurology | 4185 St George Rd, Williston, VT 05495-7695 | 2011-06-01 |
| 1720389562 | Monika B Turner | Counselor | 4185 St George Rd, Williston, VT 05495-7695 | 2010-11-10 |
| 1932330891 | Amanda Joy Lorrain | Psychologist | 4185 St George Rd, Cedar Brook, Williston, VT 05495-7695 | 2009-07-27 |
| 1003073644 | Marilyn Jean Renaudette | Psychologist | 4185 St George Rd, Williston, VT 05495-7695 | 2008-05-21 |
| 1932329604 | Erin Kathleen Hall | Psychiatry & Neurology | 4185 St George Rd, Williston, VT 05495 | 2007-04-26 |
| 1366561904 | Robin Lessoff | Psychiatry & Neurology | 4185 St George Rd, Williston, VT 05495-7695 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271977 | Rachel D. Oblak | Counselor | 8031 Williston Rd. Suite 2, Williston, VT 05495 | 2020-09-29 |
| 1164986386 | Caitlin Taylor Henck | Behavioral Analyst | 37 Talcott Road, Williston, VT 05495 | 2019-01-23 |
| 1497273585 | Williston Health Supplies | Durable Medical Equipment & Medical Supplies | 34 Blair Park Road, Suite 104 #302, Williston, VT 05495 | 2017-09-08 |
| 1245755057 | Jennifer L Cadorette | Physical Therapist | 1193 S Brownell Rd Ste 20, Williston, VT 05495 | 2017-08-14 |
| 1538563317 | Pamela Guiduli Nash | Psychologist | 277 Blair Park, Suite 210, Williston, VT 05495 | 2014-10-22 |
| 1205277118 | Daniel J Cho | Dentist | 62 Merchants Row, Williston, VT 05495 | 2013-07-09 |
| 1134473218 | Vermont Technical College Department of Denta | Dentist | 301 Lawrence Place, Williston, VT 05495 | 2012-10-29 |
| 1689923864 | Megan Marie Quiet | Specialist/Technologist | 115 Wellness Drive, Williston, VT 05495 | 2012-09-05 |
| 1285981365 | Allison Marie Bogan | Chiropractor | 300 Cornerstone Dr. Ste 215, Williston, VT 05495 | 2012-08-08 |
| 1114229937 | Bayada Home Health Care, Inc. | Registered Nurse | 600 Blair Park Rd Ste 300, Williston, VT 05495 | 2010-11-30 |
| Find all providers in zip 05495 | ||||
| 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 |
|---|---|---|---|---|
| 1538768304 | Lux Telepsych Plc | Nurse Practitioner | 4185 St George Rd, Williston, VT 05495-7695 | 2020-10-22 |
| 1073911947 | Rebecca Brooklyn | Nurse Practitioner | 4185 St George Rd, Williston, VT 05495-7695 | 2014-12-09 |
| 1356598742 | Hella S Douglas Pllc | Nurse Practitioner | 188 Allen Brook Ln, Williston, VT 05495-9303 | 2008-08-27 |
| 1841490554 | Charlotte Ferrell | Nurse Practitioner | 316 2nd Ave W, Williston, ND 58801-5218 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205492196 | John-paul Cloutier | Nurse Practitioner | 1 Anna Marsh Ln, Brattleboro, VT 05302 | 2019-05-15 |
| 1235403452 | Ernest D. Lapierre, M.s., L.l.c | Nurse Practitioner | 17b Jersey Ct Unit 2, Morrisville, VT 05661-8381 | 2012-03-06 |
| 1144548116 | Brandi Amber Rand | Nurse Practitioner | 73 Center St Ste 2, Rutland, VT 05701-4046 | 2010-05-14 |
| 1629307111 | Kathryn R George | Nurse Practitioner | 56 W Twin Oaks Ter Ste 5, South Burlington, VT 05403-7138 | 2009-12-14 |
| 1316170343 | Alexis Brooke Ressler | Nurse Practitioner | 729 Colchester Parkway, Medical Office Building, Suite 205, Colchester, VT 05446 | 2009-08-25 |
| 1649443508 | Sarah Davis | Nurse Practitioner | 185 Tilley Dr Ste 52, South Burlington, VT 05403-4484 | 2008-04-10 |
| 1043409675 | Hella Douglas | Nurse Practitioner | 55 Main St Ste 2, Essex Junction, VT 05452-6100 | 2007-10-19 |
| 1629297437 | Annamarie Schrader | Nurse Practitioner | 359 Fisher Rd, Orwell, VT 05760-9769 | 2007-04-24 |
| 1003035536 | June B. Aschenbach | Nurse Practitioner | 196 Sunset Ln E, Hinesburg, VT 05461-9050 | 2007-04-24 |
| 1184747339 | Bradford Psychiatric Associates. LLC | Nurse Practitioner | 21 Upper Pln, Bradford, VT 05033-9016 | 2007-04-10 |
| 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.