Jennifer Fauntleroy, M.D., P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

042-0009568 Issued in VT

Legal business name

JENNIFER FAUNTLEROY, M.D., P.C.

Practice address

11 Court SQ
Rutland, VT 05701-4030

Phone

(802) 775-1398

Fax

(802) 775-5196

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Mary Fauntleroy, M.D.NPI 1669448981

Title

Owner

Phone

(802) 775-1398

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Mary Fauntleroy, M.D.

  • Psychiatry Physician
  • Rutland, VT
  • NPI 1669448981
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669498853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COURT SQ",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014030",
            "telephone_number": "802-775-1398",
            "fax_number": "802-775-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COURT SQ",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014030",
            "telephone_number": "802-775-1398",
            "fax_number": "802-775-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER FAUNTLEROY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAUNTLEROY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-775-1398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042-0009568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1669",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janine F. Small Inc
• Nancy R. Jarrosak, M.S. CCC-SLP
• Jeffrey Pozon Jauigue, P.T.
• Katelyn Jax
• Veronika Jedlovszky, MD
• Tina Marie Jensen, PTA
• Zachary Jepson
• John Page Jessup, PSYCHOLOGIST, MA
• Joshua Jewett
• Brad Lee Jimmo, M.D.

• Psychiatry Physician in Rutland, VT
• Providers in Rutland, VT by specialty
• Psychiatry Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.