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

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (1,208 clinicians)

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 Hospital · Burlington, VT · CCN 470003

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 IDStateProvider typePAC IDDetails
I20141010000332 VT Practitioner - Internal Medicine 8820218084 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Allen Health Care Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jlunardini123678@direct.uvmhealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 31, 2014.

{
    "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

All providers in Essex JCT., VT · Internal Medicine Physician in Vermont

Sources for this page

Verify at the official NPI Registry.