KYLEE J LADD (NPI# 1336104934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336104934 |
Entity Type | Individual |
Full Name | KYLEE J LADD |
Credential | PA |
Practice Address |
260 Crest Rd Suite 101 Saint Albans VT 05478-9503 |
Mailing Address |
3832 Grassmere Rd Naperville IL 60564-8234 |
Practice Telephone | 8025241223 |
Practice Fax Number | 8025241095 |
Mailing Telephone | 7083266270 |
Mailing Fax Number | 7089955417 |
Enumeration Date | 2006-04-18 |
Last Update Date | 2020-05-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
055-0030279 | VT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VT | 9000230 | 05 |
Street Address |
260 CREST RD SUITE 101 |
City | SAINT ALBANS |
State | VT |
Zip Code | 05478-9503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780219063 | Alissa Peterson | Family Medicine | 260 Crest Rd, Saint Albans, VT 05478-9503 | 2020-03-07 |
1023542693 | Lindsay Claire Arzberger | Nurse Practitioner | 260 Crest Rd, Suite 103, Saint Albans, VT 05478-9503 | 2017-04-20 |
1821536871 | Lucas James Carter | Physician Assistant | 260 Crest Rd, Suite 103, Saint Albans, VT 05478-9503 | 2017-02-09 |
1134665888 | Barbara Mentzer | Registered Nurse | 260 Crest Rd, Suite 202, Saint Albans, VT 05478-9503 | 2017-01-18 |
1497119978 | Jack E Visco | Nurse Practitioner | 260 Crest Rd, Suite 101, Saint Albans, VT 05478-9503 | 2016-04-11 |
1811357668 | Northwestern Medical Center, Inc. | Dietitian, Registered | 260 Crest Rd, Suite 202, Saint Albans, VT 05478-9503 | 2016-03-07 |
1427445766 | Kelli Ann Borgman | Dietitian, Registered | 260 Crest Rd, Suite 202, Saint Albans, VT 05478-9503 | 2015-04-24 |
1356682678 | Stacey Bouchard | Nurse Practitioner | 260 Crest Rd, Saint Albans, VT 05478-9503 | 2013-03-12 |
1437404860 | Amy E Pandya | Nurse Practitioner | 260 Crest Rd, Suite 103, Saint Albans, VT 05478-9503 | 2012-07-23 |
1669754958 | Kristie Oliver | Physician Assistant | 260 Crest Rd, Suite 103, Saint Albans, VT 05478-9503 | 2011-09-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306324710 | Stephanie Paulick-maloney | Audiologist | Northwestern Ear Nose and Throat, 10 Crest Road, St Albans, VT 05478 | 2018-07-30 |
1033632476 | Caroline D Homan | Speech-Language Pathologist | 596 Seymour Road, St. Albans City, VT 05478 | 2017-07-18 |
1891234514 | Baart Behavioral Health Services Inc | Clinic/Center | 242 S Main St, Saint Albans, VT 05478 | 2017-02-14 |
1336492073 | Vermont Medical Sleep Disorders Center, Inc. | Durable Medical Equipment & Medical Supplies | 6 Home Health Circle, Suite2, Saint Albans, VT 05478 | 2012-10-18 |
1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
1942523576 | Heather Elizabeth Deslauriers | Pharmacist | 164 Swaton Rd, St.albans, VT 05478 | 2010-03-10 |
1154529451 | Elizabeth Maria Felcyn Dupont | Occupational Therapist | 596 Sheldon Road, St Albans, VT 05478 | 2007-07-07 |
1467674580 | James Robert Nelson | Counselor | 92 Fairfield Street, St. Albans, VT 05478 | 2007-05-02 |
1942429519 | Odette Susan Taylor | Physical Therapist | 3 Home Health Circle, St Albans, VT 05478 | 2007-04-24 |
1558588418 | Elizabeth Nelson Dmd PC | Dentist | 10 Mapleville Depot, St. Albans, VT 05478 | 2007-04-19 |
Find all providers in zip 05478 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669754958 | Kristie Oliver | Physician Assistant | 260 Crest Rd, Suite 103, Saint Albans, VT 05478-9503 | 2011-09-13 |
1083679179 | Maryrose Monica Zeviar | Physician Assistant | 133 Fairfield St, Emergency Department, Saint Albans, VT 05478-1726 | 2006-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
1770850216 | Lauren Jennifer Navas | Physician Assistant | 100 River St Ste 2, Springfield, VT 05156-2930 | 2011-11-29 |
1245554575 | Blue Collar Medicine | Physician Assistant | 36 Willey St, Barre, VT 05641-2500 | 2010-03-15 |
1770639247 | Elysabethe A James | Physician Assistant | 265 Aviation Ave, South Burlington, VT 05403-6060 | 2007-01-26 |
1407923329 | Martha Parnell Seagrave | Physician Assistant | 425 Pearl Street, Center for Health and Wellbeing, Burlington, VT 05401 | 2006-11-29 |
1639273246 | Tammy Michelle Gerdes | Physician Assistant | 1823 Vt Rte 107, Bethel, VT 05032-9107 | 2006-09-12 |
1174626089 | Patrick Heaney | Physician Assistant | 186 Medical Village Dr, Newport, VT 05855-8537 | 2006-09-06 |
1396754008 | Mary Elizabeth Hughes | Physician Assistant | 354 Mountain View Dr Ste 300, Four Seasons Dermatology, Colchester, VT 05446-5988 | 2006-08-05 |
1013938992 | Abigail Rose Brown | Physician Assistant | 173 S Main St, Rutland, VT 05701-4713 | 2006-07-23 |
1013973858 | Jeniane L. Rathburn | Physician Assistant | 201 E Main Street, Concord Health Center, Concord, VT 05824-0355 | 2006-04-21 |
Find all providers with the same taxonomy |
City | SAINT ALBANS |
Zip Code | 05478 |
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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.