Jessica Marie Lunardini, MD
Individual provider Active NPI Internal Medicine Physician · Essex JCT., VT
NPI 1376860767 · NPPES record last updated Jul 31, 2014
Key facts
- NPI
- 1376860767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 042.0012936 (VT)
- Practice address
- 87 Main St.
Fahc/Pcim-Given Essex
Essex JCT., VT 05452 - Phone
- (802) 847-8354
- NPI assigned
- Apr 26, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Pittsburgh School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Vermont Medical Center Inc
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141010000332 | VT | Practitioner - Internal Medicine | 8820218084 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fletcher Allen Health Care Inc | Past | Accepting new patients |
Interoperability endpoints
- jlunardini123678@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 042.0012936 | VT | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
87 Main St.
Fahc/Pcim-Given Essex
Essex JCT., VT 05452
Mailing address
87 Main St.
Fahc/Pcim-Given Essex
Essex JCT., VT 05452
Phone (802) 847-8354
NPI Registry JSON
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1376860767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 MAIN ST.",
"address_2": "FAHC/PCIM-GIVEN ESSEX",
"city": "ESSEX JCT.",
"state": "VT",
"postal_code": "05452",
"telephone_number": "802-847-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 MAIN ST.",
"address_2": "FAHC/PCIM-GIVEN ESSEX",
"city": "ESSEX JCT.",
"state": "VT",
"postal_code": "05452",
"telephone_number": "802-847-8354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNARDINI",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VT",
"license": "042.0012936",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Essex JCT., VT
- Chelsea Dawn Laframboise
- Leclair Therapy, Inc.
- Estelle L Leclair
- Andrea Lemnah
- Jennifer B Levine
- Blake Coulter McKnight
- Melissa Culver Counseling Services, PLLC
- Meredith Davies Monahan
- R. Scott Moylan
- New England Medical Systems, Co.
All providers in Essex JCT., VT · Internal Medicine Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.