JACQUELINE MORIAH BRAY (NPI# 1790395051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790395051 |
| Entity Type | Individual |
| Full Name | JACQUELINE MORIAH BRAY |
| Credential | DNP-FNP |
| Practice Address |
172 Fairfield St Saint Albans VT 05478-1743 |
| Mailing Address |
208 Flynn Ave Ste 3j Burlington VT 05401-5420 |
| Practice Telephone | 8024886290 |
| Mailing Telephone | 8024886934 |
| Mailing Fax Number | 8024886919 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
101.0134606 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | APRN CREDENTIAL | 101.0134606 | 01 |
| Street Address |
172 FAIRFIELD ST |
| City | SAINT ALBANS |
| State | VT |
| Zip Code | 05478-1743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205477759 | Emily Carvey | Counselor | 172 Fairfield St, Saint Albans, VT 05478-1743 | 2019-10-07 |
| 1871049734 | Laura Macke | Counselor | 172 Fairfield St, Saint Albans, VT 05478-1743 | 2016-08-31 |
| 1316387103 | Wade Mcartor | Counselor | 172 Fairfield St, Saint Albans, VT 05478-1743 | 2013-06-26 |
| 1821243411 | Christine Luce | Counselor | 172 Fairfield St, Saint Albans, VT 05478-1743 | 2008-11-24 |
| 1376707398 | Elizabeth Moss | Social Worker | 172 Fairfield St, Saint Albans, VT 05478-1743 | 2008-07-18 |
| 1427129857 | Ed M Williamson | Counselor | 172 Fairfield St, Saint Albans, VT 05478-1743 | 2006-11-09 |
| 1932299641 | Sandy Haller | Counselor | 172 Fairfield St, Saint Albans, VT 05478-1743 | 2006-10-13 |
| 1447341235 | Cynthia G Grace | Counselor | 172 Fairfield St, C/o Cdas, Saint Albans, VT 05478-1743 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306324710 | Stephanie Paulick-maloney | Audiologist | Northwestern Ear Nose and Throat, 10 Crest Road, St Albans, VT 05478 | 2018-07-30 |
| 1033632476 | Caroline D Homan | Speech-Language Pathologist | 596 Seymour Road, St. Albans City, VT 05478 | 2017-07-18 |
| 1891234514 | Baart Behavioral Health Services Inc | Clinic/Center | 242 S Main St, Saint Albans, VT 05478 | 2017-02-14 |
| 1336492073 | Vermont Medical Sleep Disorders Center, Inc. | Durable Medical Equipment & Medical Supplies | 6 Home Health Circle, Suite2, Saint Albans, VT 05478 | 2012-10-18 |
| 1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
| 1942523576 | Heather Elizabeth Deslauriers | Pharmacist | 164 Swaton Rd, St.albans, VT 05478 | 2010-03-10 |
| 1154529451 | Elizabeth Maria Felcyn Dupont | Occupational Therapist | 596 Sheldon Road, St Albans, VT 05478 | 2007-07-07 |
| 1467674580 | James Robert Nelson | Counselor | 92 Fairfield Street, St. Albans, VT 05478 | 2007-05-02 |
| 1942429519 | Odette Susan Taylor | Physical Therapist | 3 Home Health Circle, St Albans, VT 05478 | 2007-04-24 |
| 1558588418 | Elizabeth Nelson Dmd PC | Dentist | 10 Mapleville Depot, St. Albans, VT 05478 | 2007-04-19 |
| Find all providers in zip 05478 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153807 | Lorena Giraldo | Nurse Practitioner | 12025 193rd St, Saint Albans, NY 11412-3636 | 2020-10-26 |
| 1982226981 | Tanetta Nyoka James | Nurse Practitioner | 18823 Dormans Rd, Saint Albans, NY 11412-2618 | 2020-05-12 |
| 1801390422 | Khadijat M Ige | Nurse Practitioner | 11616 Newburgh St, Saint Albans, NY 11412-3007 | 2018-03-20 |
| 1396250247 | Emma Anderson | Nurse Practitioner | 260 Crest Rd Ste 103, Saint Albans, VT 05478-9502 | 2017-12-13 |
| 1336659820 | Daedrian Griffiths | Nurse Practitioner | 20504 109th Ave, Saint Albans, NY 11412-1408 | 2017-10-10 |
| 1982123717 | Victoria Elizabeth Gray | Nurse Practitioner | 19448 111th Rd, Saint Albans, NY 11412-2019 | 2017-09-13 |
| 1811415102 | Cashmilla Nicholas | Nurse Practitioner | 20412 104th Ave, Saint Albans, NY 11412-1402 | 2017-09-06 |
| 1851744437 | Shawn Robert Blankenship | Nurse Practitioner | 303 6th Ave, Saint Albans, WV 25177-2838 | 2016-07-19 |
| 1144610320 | Farah Hilaire | Nurse Practitioner | 11631 205th St Fl 2, Saint Albans, NY 11412-2930 | 2015-01-27 |
| 1205239159 | Abbi-gail Natasha Baboolal | Nurse Practitioner | 10414 195th St, Saint Albans, NY 11412-1104 | 2014-10-07 |
| Find all providers in SAINT ALBANS | ||||
| City | SAINT ALBANS |
| Zip Code | 05478 |
Please comment or provide details below to improve the information on JACQUELINE MORIAH BRAY.
| 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.