JESSICA THIBODEAU (NPI# 1417929910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417929910 |
Entity Type | Individual |
Full Name | JESSICA THIBODEAU |
Credential | APRN, BC |
Practice Address |
25 Mount Eustis Rd Littleton NH 03561-3712 |
Mailing Address |
41 Lincoln Ave Lisbon NH 03585-6508 |
Practice Telephone | 6034442464 |
Practice Fax Number | 6034443441 |
Mailing Telephone | 6038388967 |
Enumeration Date | 2006-02-07 |
Last Update Date | 2010-02-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0417842305 | NH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 30009281 | 05 |
Street Address |
25 MOUNT EUSTIS RD |
City | LITTLETON |
State | NH |
Zip Code | 03561-3712 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538637228 | Brenda Fortier-dube | Social Worker | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2018-11-12 |
1376951285 | Keith Foster Batchelder | Dentist | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2014-07-24 |
1285893586 | Ammonoosuc Community Health Services Inc | Clinic/Center | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2008-06-03 |
1912166380 | Ammonoosuc Community Health Services Inc | Clinic/Center | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2008-06-02 |
1114108396 | Elizabeth F Harman | Physician Assistant | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2007-11-16 |
1154510170 | Joshua L. Gleiner | Physician Assistant | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2007-10-16 |
1619196409 | Ammonoosuc Community Health Services, Inc. | Clinic/Center | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2007-04-24 |
1356490312 | Nicole V Fischler | Nurse Practitioner | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2007-01-09 |
1073613030 | Stephen M Noyes | Social Worker | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2006-09-22 |
1790884435 | Wanda W Mclure | Physician Assistant | 25 Mount Eustis Rd, Littleton, NH 03561-3712 | 2006-09-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497391536 | Christopher Lee Flores Toves | Registered Nurse | Littleton Regional Healthcare, 600 Saint Johnsbury Road, Littleton, NH 03561 | 2019-11-25 |
1588017446 | Genevieve Mary Kelley | Family Medicine | 580 Saint Johnsbury Rd Ste K, Littleton, NH 03561 | 2016-07-15 |
1578924072 | Taveras Transportation | Non-emergency Medical Transport (VAN) | 103 Farr Hill Rd, Littleton, NH 03561 | 2016-03-10 |
1417216466 | Karl Herzig | Pharmacist | 25 Mount Eutis Rd, Ammonoosuc Community Health Services, Littleton, NH 03561 | 2012-05-11 |
1952678377 | Francis Joseph Dunn Jr. | Pharmacist | 25 Mount Eustis Road, Littleton, NH 03561 | 2011-11-30 |
1164738514 | Susan Jane Fraser | Pharmacist | 118 -136 Meadow St, Littleton, NH 03561 | 2010-08-24 |
1174706071 | Jean Langevin | Orthopaedic Surgery | 580 Sain Johnsbury Road, Alpine Clinic - Littleton, Littleton, NH 03561 | 2007-12-13 |
1609094028 | Catherine Hier | Counselor | 229 Cottage Street, Littleton, NH 03561 | 2007-04-23 |
1932323136 | Northern New England Compounding Pharmacy | Pharmacy | 338 Union St, Littleton, NH 03561 | 2007-04-12 |
1801917216 | Patrick Fitzpatrick | Allergy & Immunology | 580 St. Jonsbury Rd., Littleton, NH 03561 | 2007-04-03 |
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Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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1124541487 | Monarch Integrative Health, Pllc | Nurse Practitioner | 4260 S Wadsworth Blvd Unit 150, Littleton, CO 80123-1352 | 2017-07-19 |
1811357973 | Craig Thompson | Nurse Practitioner | 12276 W Crestline Dr, Littleton, CO 80127-4446 | 2016-03-02 |
1144668708 | Rebecca Ann Fuentes Felty | Nurse Practitioner | 2329 W Main St Ste 203, Littleton, CO 80120-8200 | 2013-06-05 |
1407291016 | Ava Hsu | Nurse Practitioner | 5506 S Zinnia St, Littleton, CO 80127-2120 | 2013-05-09 |
1306310875 | Kurt Dean Vasquez Jr. | Nurse Practitioner | 7700 S Broadway, Littleton, CO 80122-2602 | 2019-01-17 |
1811438617 | Brittany Aliberti | Nurse Practitioner | 7720 S Broadway Ste 590, Littleton, CO 80122-2601 | 2017-03-13 |
1659821171 | Rebecca Fuentes Felty Np LLC | Nurse Practitioner | 2329 W Main St Ste 203, Littleton, CO 80120-8200 | 2016-10-07 |
1710383310 | Colorado Pulmonary Intensivists | Nurse Practitioner | 15 W Dry Creek Cir, Littleton, CO 80120-4427 | 2014-11-08 |
1639329725 | Franca Tartaglia Gardner | Nurse Practitioner | 4260 S Wadsworth Blvd, Suite 150, Littleton, CO 80123-1308 | 2008-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770123937 | Branches Whole Health | Nurse Practitioner | 28 Charron Ave Ste 10a, Nashua, NH 03063-1735 | 2020-01-15 |
1578035549 | Caitlin Farmer | Nurse Practitioner | 155 Borthwick Ave Ste 202, Portsmouth, NH 03801-7156 | 2019-01-01 |
1922508134 | Michelle Lauren Mercuri | Nurse Practitioner | 108 Highland St, Hudson, NH 03051-3803 | 2018-02-14 |
1477005205 | Richard Lapage | Nurse Practitioner | 194a Pleasant St, Concord, NH 03301-2903 | 2016-10-27 |
1437513140 | Laurie Brockelman | Nurse Practitioner | 462 Route 119 East, Fitzwilliam, NH 03447-3149 | 2016-04-08 |
1326444159 | Janice Danyew | Nurse Practitioner | 3 Rosewood Ave, Sanbornton, NH 03269 | 2014-11-05 |
1134524697 | Theresa Evans | Nurse Practitioner | 79 Mace Rd, Hampton, NH 03842-2052 | 2014-10-27 |
1932525839 | Lindsay Schommer | Nurse Practitioner | 1 Medical Center Dr - Neurology, Dartmouth-hitchcock Medical Center, Lebanon, NH 03756-0001 | 2014-03-16 |
1194169235 | Kans Booz Lewis | Nurse Practitioner | 41 Jericho Rd, Berlin, NH 03570-1315 | 2013-04-19 |
1376889212 | Moving Forward Healthcare for Older Adults LLC | Nurse Practitioner | 2 Birch Rd, Peterborough, NH 03458-1903 | 2012-12-21 |
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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.