MOLLY BACKUP (NPI# 1700972486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700972486 |
| Entity Type | Individual |
| Full Name | MOLLY BACKUP |
| Credential | PA |
| Practice Address |
28 Park Ave Williston VT 05495 |
| Practice Telephone | 8028781008 |
| Practice Fax Number | 8028722679 |
| Mailing Telephone | 8028781008 |
| Mailing Fax Number | 8028722679 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0550030406 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0AP0942 | 05 |
| Street Address |
28 PARK AVE |
| City | WILLISTON |
| State | VT |
| Zip Code | 05495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801868005 | Patrick Cornelius Kearney | Physician Assistant | 28 Park Ave, Williston, VT 05495-9701 | 2006-02-02 |
| 1396382628 | Diane Paulette Collias | Social Worker | 28 Park Ave, Williston, VT 05495-9701 | 2019-12-05 |
| 1518457746 | Danielle Jasinski | Family Medicine | 28 Park Ave, Williston, VT 05495-9701 | 2018-05-14 |
| 1669979068 | Cheryl Underwood | Registered Nurse | 28 Park Ave, Williston, VT 05495-9701 | 2018-04-11 |
| 1326497306 | Danielle Beaudoin | Nurse Practitioner | 28 Park Ave, Williston, VT 05495-9701 | 2016-06-09 |
| 1558702357 | Elizabeth Kathryn Loscalzo | Physician Assistant | 28 Park Ave, Williston, VT 05495-9701 | 2013-07-10 |
| 1982945036 | Adrienne Voutila | Physician Assistant | 28 Park Ave, Williston, VT 05495-9701 | 2013-03-13 |
| 1902161698 | Kathryn Rick | Psychologist | 28 Park Ave, Suite 110, Williston, VT 05495-9701 | 2012-07-09 |
| 1134387244 | Rebecca Lynne Joyce | Family Medicine | 28 Park Ave, Williston, VT 05495-9701 | 2008-05-26 |
| 1962688085 | Kathleen Kelley | Counselor | 28 Park Ave, Catamount Center, Suite 110, Williston, VT 05495 | 2008-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271977 | Rachel D. Oblak | Counselor | 8031 Williston Rd. Suite 2, Williston, VT 05495 | 2020-09-29 |
| 1164986386 | Caitlin Taylor Henck | Behavioral Analyst | 37 Talcott Road, Williston, VT 05495 | 2019-01-23 |
| 1497273585 | Williston Health Supplies | Durable Medical Equipment & Medical Supplies | 34 Blair Park Road, Suite 104 #302, Williston, VT 05495 | 2017-09-08 |
| 1245755057 | Jennifer L Cadorette | Physical Therapist | 1193 S Brownell Rd Ste 20, Williston, VT 05495 | 2017-08-14 |
| 1538563317 | Pamela Guiduli Nash | Psychologist | 277 Blair Park, Suite 210, Williston, VT 05495 | 2014-10-22 |
| 1205277118 | Daniel J Cho | Dentist | 62 Merchants Row, Williston, VT 05495 | 2013-07-09 |
| 1134473218 | Vermont Technical College Department of Denta | Dentist | 301 Lawrence Place, Williston, VT 05495 | 2012-10-29 |
| 1689923864 | Megan Marie Quiet | Specialist/Technologist | 115 Wellness Drive, Williston, VT 05495 | 2012-09-05 |
| 1285981365 | Allison Marie Bogan | Chiropractor | 300 Cornerstone Dr. Ste 215, Williston, VT 05495 | 2012-08-08 |
| 1114229937 | Bayada Home Health Care, Inc. | Registered Nurse | 600 Blair Park Rd Ste 300, Williston, VT 05495 | 2010-11-30 |
| Find all providers in zip 05495 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124165626 | James Eldon Long Sr. | Physician Assistant | 300a Nw 1st Ave, Williston, FL 32696-2006 | 2007-01-31 |
| 1558702357 | Elizabeth Kathryn Loscalzo | Physician Assistant | 28 Park Ave, Williston, VT 05495-9701 | 2013-07-10 |
| 1831458744 | Carissa Annette Niederhauser | Physician Assistant | 1301 15th Ave W, Williston, ND 58801-3821 | 2012-05-11 |
| 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 |
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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.