Elizabeth H Jillson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

42-0008379 Issued in VT

Practice address

89 Main St
Essex JCT, VT 05452-3207

Phone

(802) 879-6556

Fax

(802) 872-8021

NPI assigned

Oct 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1447249263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054523207",
            "telephone_number": "802-879-6556",
            "fax_number": "802-872-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054523207",
            "telephone_number": "802-879-6556",
            "fax_number": "802-872-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JILLSON",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "42-0008379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003486",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Allen Goliber, D.M.D.
• Jerry Steven Hale, M.D.
• Hillary Holmes, LICSW
• Gary B Irish, O.D.
• J. Scott Thompson, D.M.D., P.C.
• Sandra E Kapsalis, M.D.
• Patricia King, MD
• Penny Kuang, PHARMD
• Chelsea Dawn Laframboise, RPH
• Leclair Therapy, Inc.

• All providers in Essex JCT, VT
• Pediatrics Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.