MS. JENNIFER STURTEVANT (NPI# 1689796492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689796492 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER STURTEVANT |
| Credential | LATC |
| Practice Address |
101 Main St Suite 105 Medford MA 02155-4540 |
| Mailing Address |
6 Lakeshore Ave Beverly MA 01915-1908 |
| Practice Telephone | 7813957750 |
| Practice Fax Number | 7813955343 |
| Mailing Telephone | 6178275311 |
| Mailing Fax Number | 7813955343 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2017-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1517 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720499965 | Jennifer Sturtevant | Speech-Language Pathologist | 300 E Germantown Pike, East Norriton, PA 19401-6520 | 2014-05-09 |
| Street Address |
101 MAIN ST SUITE 105 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-4540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809411 | Raymond S. Murano | Podiatrist | 101 Main St, Ste 207, Medford, MA 02155-4530 | 2005-05-30 |
| 1063805851 | Diane Coste | Nurse Practitioner | 101 Main St, Suite 110, Medford, MA 02155-4540 | 2015-03-18 |
| 1942543764 | Neelam M. Thacker, M.d. | Clinic/Center | 101 Main St, #210, Medford, MA 02155-4540 | 2013-03-29 |
| 1801134416 | Jason M. Gilbert, M.d.p.c. | Ophthalmology | 101 Main St, Suite 208, Medford, MA 02155-4540 | 2013-01-17 |
| 1275878076 | Nicole Marie Hersel | Nurse Practitioner | 101 Main St, Suite 201, Medford, MA 02155-4540 | 2012-12-05 |
| 1033491766 | H. Gregory Ota, M.d., P.c | Clinic/Center | 101 Main St, Suite 216, Medford, MA 02155-4540 | 2011-09-20 |
| 1679866156 | Anthony Michael Paolucci | Dentist | 101 Main St, #206, Medford, MA 02155-4540 | 2011-05-17 |
| 1235434762 | Karen Ann Quigley | Dentist | 101 Main St, Suite 206, Medford, MA 02155-4540 | 2011-01-13 |
| 1023348935 | Jason M. Gilbert, M.d. P.C. | Ophthalmology | 101 Main St, Suite 208, Medford, MA 02155-4540 | 2009-12-29 |
| 1215164744 | James Andriotakis | Physical Medicine & Rehabilitation | 101 Main St, Suite 101, Medford, MA 02155-4540 | 2009-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135069 | Kaitlin Elizabeth Schaaf | Specialist/Technologist | 106 Lincoln Rd, Medford, NY 11763-1660 | 2020-02-07 |
| 1174005490 | Miranda Doyle | Specialist/Technologist | 126 Pine Valley Dr, Medford, NJ 08055-9214 | 2018-09-04 |
| 1508372343 | Kip Patterson | Specialist/Technologist | 600 Tabernacle Rd, Medford, NJ 08055-9732 | 2017-12-15 |
| 1326493222 | Mary-kate Dunne | Specialist/Technologist | 60 Highbridge Blvd, Medford, NJ 08055-3340 | 2016-04-28 |
| 1245645969 | Paul Cicero Jr. | Specialist/Technologist | 264 Bridgeport Ave, Medford, NY 11763-4019 | 2014-06-23 |
| 1124448030 | Michael Stevenson | Specialist/Technologist | 1444 Lawnridge St, Medford, OR 97504-6248 | 2014-04-17 |
| 1538415591 | William John Vonleer | Specialist/Technologist | 235 Hartford Rd, Lenape High School, Medford, NJ 08055-4001 | 2012-07-27 |
| 1851426753 | Steven Todd Dietzman | Specialist/Technologist | 103 South Gibson Street, Medford, WI 54451 | 2007-02-22 |
| 1881705085 | Mark James Doughtie | Specialist/Technologist | 161 College Ave, Tufts University - Sousens Gym, Medford, MA 02155 | 2006-08-31 |
| 1558391151 | James E Walker | Specialist/Technologist | 489 Winthrop St, Medford, MA 02155-2349 | 2006-07-03 |
| Find all providers in MEDFORD | ||||
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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.