JENNIFER APRIL CIVIELLO (NPI# 1912076803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912076803 |
| Entity Type | Individual |
| Full Name | JENNIFER APRIL CIVIELLO |
| Other Name | JENNIFER APRIL GLIDDEN |
| Credential | CPNP |
| Practice Address |
331 Upper Plain Bradford VT 05033 |
| Mailing Address |
37 Parkhurst St Apt 1 Lebanon NH 03766 |
| Practice Telephone | 8022224722 |
| Practice Fax Number | 8022224709 |
| Mailing Telephone | 6034483016 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1010031684 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1012431 | 05 | |
| NH | 30344253 | 05 |
| Street Address |
331 UPPER PLAIN |
| City | BRADFORD |
| State | VT |
| Zip Code | 05033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912087867 | Lisa K Jensen | Midwife | 331 Upper Plain, Bradford, VT 05033 | 2006-10-16 |
| 1396115218 | Bonnie W. Irwin | Psychoanalyst | 331 Upper Plain, Bradford Medical Center, Bradford, VT 05033 | 2015-10-05 |
| 1154483543 | Upper Valley Pediatrics | Pediatrics | 331 Upper Plain, Bradford, VT 05033 | 2006-12-14 |
| 1952460800 | Thomas Clark | Pediatrics | 331 Upper Plain, Bradford, VT 05033 | 2006-12-07 |
| 1124198353 | Robert William Claflin | Counselor | 331 Upper Plain, Upper Valley Pediatrics, Bradford, VT 05033 | 2006-11-08 |
| 1164502043 | Susan Ann Farrell | Nurse Practitioner | 331 Upper Plain, Bradford, VT 05033 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306215371 | Lynn Irwin | Psychoanalyst | 331 Upper Plain (u.s Route 5), Bradford Medical Center, Bradford, VT 05033 | 2015-09-21 |
| 1083907281 | Demetra S Hazatones | Counselor | 1483 Lower Plain, Bradford, VT 05033 | 2011-05-20 |
| 1841319043 | Douglas Marr Speck | Psychologist | 540 Route 5 South, Bradford, VT 05033 | 2007-03-28 |
| 1649353731 | Jessie Reynolds | Family Medicine | 437 South Main Street, Bradford, VT 05033 | 2006-10-23 |
| 1134209083 | Nancy Ryan Foote | Nurse Practitioner | 331 Upper Plain Suite 1, Upper Plain, Bradford, VT 05033 | 2006-10-16 |
| 1073607644 | Lora Oakes Chatfield | Advanced Practice Midwife | 23 Upper Plain, Bradford, VT 05033 | 2006-10-03 |
| 1851407118 | Margarethe M Chobanian | Pediatrics | 437 South Main St, Bradford, VT 05033 | 2006-08-21 |
| 1225401219 | Travis Ryan Gross | Pharmacist | 901 Lower Pln, Bradford, VT 05033 | 2015-11-12 |
| 1679858690 | Pamela Sue Ashton | Counselor | 131 Main St., 2nd Fl Suite3, Bradford, VT 05033 | 2011-10-21 |
| 1316165129 | Little Rivers Health Care, Inc. | Clinic/Center | 437 South Main Street, Bradford, VT 05033 | 2007-04-24 |
| Find all providers in zip 05033 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134209083 | Nancy Ryan Foote | Nurse Practitioner | 331 Upper Plain Suite 1, Upper Plain, Bradford, VT 05033 | 2006-10-16 |
| 1912358532 | Sara Lam | Nurse Practitioner | 331 Upper Pln, Bradford, VT 05033-9207 | 2016-06-24 |
| 1861822538 | Amanda B Cohen | Nurse Practitioner | 331 Upper Pln, Bradford, VT 05033-9207 | 2013-11-18 |
| 1164502043 | Susan Ann Farrell | Nurse Practitioner | 331 Upper Plain, Bradford, VT 05033 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336484856 | Jamie Swanson | Nurse Practitioner | 219 Austin Dr, Burlington, VT 05401-5428 | 2012-12-10 |
| 1780873513 | Francesca Ann Berriman | Nurse Practitioner | 313 Juniper Ln, Lyndonville, VT 05851-8593 | 2007-10-17 |
| 1801959465 | Karen Elizabeth Leroy | Nurse Practitioner | 121 Duchess Ave Ste A, Newport, VT 05855 | 2006-12-18 |
| 1962433060 | Frank Batchelder Lamson | Nurse Practitioner | 79 South Windsor St, South Royalton, VT 05068 | 2006-07-06 |
| 1306824958 | Brenda Dawn Stewart | Nurse Practitioner | 97 Sherman Dr, Nvrh St Johnsbury Pediatrics, St Johnsbury, VT 05819-9280 | 2006-01-04 |
| 1033196639 | Mary Gill | Nurse Practitioner | 110 Porter Drive, Middlebury, VT 05753 | 2005-12-27 |
| 1831746494 | Marin Beth Katz | Nurse Practitioner | 97 Sherman Dr, St Johnsbury, VT 05819-9280 | 2019-08-19 |
| 1932665684 | Kathleen Morwood Goodwin | Nurse Practitioner | 128 Lakeside Ave Ste 115, Burlington, VT 05401-4936 | 2019-02-19 |
| 1497210959 | Brenda Neff | Nurse Practitioner | 130 Fisher Rd, Berlin, VT 05602-9516 | 2019-02-08 |
| 1295246379 | Amy Pfenning | Nurse Practitioner | 1 General Wing Rd, Rutland, VT 05701-4681 | 2017-10-17 |
| Find all providers with the same taxonomy | ||||
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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.