JACQUELYN LEWIS (NPI# 1558692681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558692681 |
| Entity Type | Individual |
| Full Name | JACQUELYN LEWIS |
| Credential | LMT, NCTMB, CCA |
| Practice Address |
1193 Ethan Allen Hwy Fairfax VT 05454-5433 |
| Practice Telephone | 8029999985 |
| Practice Fax Number | 8025249800 |
| Mailing Telephone | 8029999985 |
| Mailing Fax Number | 8025249800 |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 019608 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386150746 | Jacquelyn Marie Lewis | Physician Assistant | 1021 E Main St, Edmore, MI 48829-8740 | 2017-12-21 |
| 1710392618 | Jacquelyn Lewis | Marriage & Family Therapist | 407 Sherman Ave Ste C, Palo Alto, CA 94306-1872 | 2014-06-30 |
| Street Address |
1193 ETHAN ALLEN HWY |
| City | FAIRFAX |
| State | VT |
| Zip Code | 05454-5433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255380432 | Carol Thayer | Family Medicine | 4178 Highbridge Rd, Georgia, VT 05454 | 2006-05-08 |
| 1588691778 | Fairfax Ems Inc | Ambulance | 14 Goodall Street, Fairfax, VT 05454-0428 | 2006-06-26 |
| 1578891040 | Chelsea C Clark | Registered Nurse | 15 East Rd Unit 102, Fairfax, VT 05454-4450 | 2009-11-22 |
| 1386279115 | Kristen Nicole Scullin | Physical Therapist | 1282 Main St, Fairfax, VT 05454-4456 | 2020-03-12 |
| 1801451414 | Casey D'alberto | Physical Therapist | 1282 Main St, Fairfax, VT 05454-4456 | 2019-05-08 |
| 1912463712 | Sherry Lynne Cushing | Massage Therapist | 1091 Ethan Allen Hwy, Fairfax, VT 05454-5435 | 2019-02-16 |
| 1235188418 | Miriam S Sturgis | Family Medicine | 4178 Highbridge Rd, Georgia, VT 05454-5446 | 2006-05-08 |
| 1033476965 | Sarah Desilvey | Nurse Practitioner | 4178 Highbridge Rd, Fairfax, VT 05454-5446 | 2012-04-17 |
| 1417287665 | Northwestern Medical Center, Inc. | Clinic/Center | 4178 Highbridge Rd, Fairfax, VT 05454-5446 | 2010-01-12 |
| 1801061973 | Anne T Standish | Nurse Practitioner | 4178 Highbridge Rd, Fairfax, VT 05454-5446 | 2008-04-29 |
| Find all providers in zip 05454 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841748829 | Katherine Thompson | Specialist | 3525 Mclean Ave, Fairfax, VA 22030-3007 | 2016-09-19 |
| 1932574019 | Tracie Reyes | Specialist | 11240 Waples Mill Rd Ste 100, Fairfax, VA 22030-6078 | 2015-12-01 |
| 1669845236 | Lauren Washington | Specialist | 11240 Waples Mill Rd Ste 301, Fairfax, VA 22030-6078 | 2015-11-04 |
| 1457746513 | Stephanie Bolger | Specialist | 10700 Zion Dr, Fairfax, VA 22032-3432 | 2015-04-05 |
| 1588066096 | Erin Stephenson | Specialist | 12881 Fair Valley Ct, Fairfax, VA 22033-3816 | 2014-09-16 |
| 1609114081 | Rachel Fannell Eisenfeld | Specialist | 10660 Page Ave, Fairfax, VA 22030-4098 | 2013-01-20 |
| 1043563422 | Maryann G Rozzell | Specialist | 3422 Barkley Dr, Fairfax, VA 22031-2724 | 2012-10-22 |
| 1861776551 | Wilbert Aguila | Specialist | 12678 Marcum Ct, Fairfax, VA 22033-2457 | 2011-09-29 |
| 1861679896 | Linda O'toole Glick | Specialist | 11106 Del Rio Dr, Fairfax, VA 22030-5339 | 2008-01-22 |
| 1366634107 | Washington Imaging Associates - Maryland LLC | Specialist | 3201 Jermantown Rd Ste 550, Fairfax, VA 22030-2885 | 2007-08-15 |
| Find all providers in FAIRFAX | ||||
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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.