MS. SUSAN DIANA JACQUES (NPI# 1659353894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659353894 |
| Entity Type | Individual |
| Full Name | MS. SUSAN DIANA JACQUES |
| Credential | M.S. N. A.P.R.N. |
| Practice Address |
1 Winooski Park Smc Box 259 Saint Michael's College Colchester VT 05439-0001 |
| Mailing Address |
255 West Shore Road South Hero VT 05486 |
| Practice Telephone | 8026542234 |
| Practice Fax Number | 8026542699 |
| Mailing Telephone | 8023245122 |
| Mailing Fax Number | 8026542699 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2016-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 101-0020757 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 WINOOSKI PARK SMC BOX 259 SAINT MICHAEL'S COLLEGE |
| City | COLCHESTER |
| State | VT |
| Zip Code | 05439-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669614368 | Mary Claire Masson | Nurse Practitioner | One Winooski Park, St. Michael's College Student Health Services, Colchester, VT 05439 | 2009-03-27 |
| 1508123159 | Jessica Moore | Specialist/Technologist | Saint Michaels College, One Winooski Park, Box 258, Colchester, VT 05439-0001 | 2012-04-20 |
| 1952550691 | Susan Fagan Barry | Nurse Practitioner | St Michaels College Health, Smc Pob 259, Colchester, VT 05439-0001 | 2008-09-18 |
| 1629038344 | Elizabeth Ellen D'elia | Specialist/Technologist | Saint Michael's College, One Winooski Park, Box258, Colchester, VT 05439-0001 | 2006-03-25 |
| 1487636288 | Louise Moon Rosales | Nurse Practitioner | 1 Winooski Park, Colchester, VT 05439-0001 | 2005-11-17 |
| 1528280682 | Molly Caroline Millwood | Psychologist | 29 Ethan Allen Ave, Suite 326b, Colchester, VT 05439-0001 | 2007-05-02 |
| 1538293907 | Gayle I Botelho | Specialist/Technologist | 1 Winooski Park, Colchester, VT 05439-0001 | 2007-03-15 |
| 1679769798 | Jane A Luria | Nurse Practitioner | 1 Winooski Park, Colchester, VT 05439-6491 | 2007-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130157 | Justin Michael Boufford | Pharmacist | 218 Lower Mountian View Dr., Colchester, VT 05446 | 2020-09-24 |
| 1780290882 | Jacob Chwiedz | Physical Therapist | 179 Linwood Ave Unit A-4, Colchester, CT 06415-1160 | 2020-09-23 |
| 1851906135 | Brendan Copley | Specialist/Technologist | 352 Belair Dr, Colchester, VT 05446-6544 | 2020-09-13 |
| 1548874555 | Bryan Wilkinson | Social Worker | 123 Meadow Dr, Colchester, VT 05446-6422 | 2020-09-08 |
| 1922617885 | Cody W Brown | Chiropractor | 261 Mountain View Dr Ste 401, Colchester, VT 05446-8047 | 2020-07-27 |
| 1215553730 | Maura Powers | Nurse Practitioner | 33 Farm Gate Rd, Colchester, CT 06415-2622 | 2020-06-20 |
| 1588289664 | Jillian Thompson | Speech-Language Pathologist | 156 Chimney Hill Dr, Colchester, VT 05446-7364 | 2020-06-14 |
| 1558984583 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 948 Hercules Dr, Colchester, VT 05446-5976 | 2020-05-26 |
| 1336760339 | Amela Graco | Counselor | 108 Kathleen Ln, Colchester, VT 05446-7999 | 2020-04-30 |
| 1174154991 | The Vermont Center for Responder Wellness | Social Worker | 162 Hegeman Avenue, Suite 100, Colchester, VT 05446 | 2020-01-30 |
| Find all providers in COLCHESTER | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942723689 | The Nurse's Office Primary Care and Walk-in Center, LLC | Nurse Practitioner | 179 Linwood Ave Ste C1, Colchester, CT 06415-1160 | 2017-07-25 |
| 1952550691 | Susan Fagan Barry | Nurse Practitioner | St Michaels College Health, Smc Pob 259, Colchester, VT 05439-0001 | 2008-09-18 |
| 1558753871 | Stephanie Elizabeth Pevear | Nurse Practitioner | 792 College Pkwy, Suite 207, Colchester, VT 05446-3052 | 2015-02-24 |
| 1063828036 | Amy M Fox | Nurse Practitioner | 792 College Pkwy, Suite 207, Colchester, VT 05446-3052 | 2014-07-10 |
| 1093052581 | Sarah Rosemary Ann Zimmerman | Nurse Practitioner | 792 College Pkwy, Suite 302, Colchester, VT 05446-3052 | 2013-01-03 |
| 1205131570 | Cassandra Babson Thibault | Nurse Practitioner | 792 College Pkwy, Suite 302, Colchester, VT 05446-3052 | 2011-01-18 |
| 1679769798 | Jane A Luria | Nurse Practitioner | 1 Winooski Park, Colchester, VT 05439-6491 | 2007-09-21 |
| 1053503821 | Deborah Anne Moore | Nurse Practitioner | 875 Roosevelt Hwy, Suite 132, Colchester, VT 05446-4460 | 2007-08-15 |
| 1427118173 | Elizabeth A Ellis-kempner | Nurse Practitioner | 790 College Pkwy, Colchester, VT 05446-3007 | 2006-12-11 |
| 1700962040 | Conncare Inc | Nurse Practitioner | 163 Broadway St, Colchester, CT 06415-1022 | 2006-10-30 |
| Find all providers in COLCHESTER | ||||
| City | COLCHESTER |
| Zip Code | 05439 |
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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.