Jill A. King, BA RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

026.0067527 Issued in VT

Practice address

10 Lincoln Street
Springfield, VT 05156-2226

Phone

(802) 885-7280

Fax

(802) 885-2683

NPI assigned

Jan 30, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jill A. Croteau Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Care and Rehabilitation Services of Southeastern Vermont, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Springfield, VT
  • NPI 1356273742
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1164053997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 RIVER STREET",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562226",
            "telephone_number": "802-886-4500",
            "fax_number": "802-886-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LINCOLN STREET",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562226",
            "telephone_number": "802-885-7280",
            "fax_number": "802-885-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JILL",
        "middle_name": "A.",
        "credential": "BA RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "063450-21",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "026.0067527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "CROTEAU",
            "middle_name": "A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brooke K Kearney, RN
• Deborah Kelin Smith, M.ED., LADC
• Connor Richard Kelley, PHARMACIST
• Angela Kelly
• Virginia Kelly, L.P.C., PH.D.
• Kayla King
• Margaret Packard King, CCC-SLP
• Nichole Kingsbury, ASSOC. HUMAN SERVICE
• Samuel M. Kippenberger, PA-C
• Caroline Kirkpatrick

• Registered Nurse in Springfield, VT
• Providers in Springfield, VT by specialty
• Registered Nurse in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.