NPIMap

Organization Active NPI

Upper Valley Pediatrics, PLLC

  • Pediatric Adolescent Medicine Physician
  • Bradford, VT
National Provider Identifier
1477935716
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
UPPER VALLEY PEDIATRICS, PLLC
Practice address
331 Upper PLN
Bradford, VT 05033-9207
Phone
(802) 222-4722
Fax
(802) 222-4709
NPI assigned
Jun 23, 2015
Last updated
Sep 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Mrs. Rebecca L. Yukica, D.O.NPI 1558560490
Title
D.O./Practice Owner
Phone
(802) 222-4722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X NU Primary

Addresses

Primary practice location

331 Upper PLN
Bradford, VT 05033-9207

Mailing address

331 Upper PLN
Bradford, VT 05033-9207
Phone (802) 222-4722

National Provider Directory

National Provider Directory

Locations

332 Route 113 Rd
East Thetford, VT 05043
Phone (802) 785-4722

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1477935716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 UPPER PLN",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "050339207",
            "telephone_number": "802-222-4722",
            "fax_number": "802-222-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 UPPER PLN",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "050339207",
            "telephone_number": "802-222-4722",
            "fax_number": "802-222-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "YUKICA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "D.O./PRACTICE OWNER",
        "authorized_official_telephone_number": "802-222-4722",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.