Elysabethe A James, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0550030693 Issued in VT

Practice address

265 Aviation Ave
South Burlington, VT 05403-6060

Phone

(855) 262-6789

Fax

(855) 262-6789

NPI assigned

Jan 26, 2007

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

Physician Assistant

Practice roles

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.

• Champlain Valley Urgent Care, PC

  • Urgent Care Clinic/Center
  • South Burlington, VT
  • NPI 1902990674
  NPD (past)
• Hoeppner Physical Therapy Limited Partnership

  • Physical Therapist
  • South Burlington, VT
  • NPI 1427162957
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1770639247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 AVIATION AVE",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036060",
            "telephone_number": "855-262-6789",
            "fax_number": "855-262-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 AVIATION AVE",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036060",
            "telephone_number": "855-262-6789",
            "fax_number": "855-262-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "ELYSABETHE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VT",
            "license": "0550030693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "043595303",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Jablonski, M.S. CCC-SLP
• Heather Jackson
• Hibo I Jafar
• Elizabeth F. Jaffe, MD
• Maya Jamaleddine, MS
• Lauren Ashley Jarvis, DO
• Danielle Jatlow, LICSW,LADC
• Jennifer Fellows Licsw, LLC
• Lindsay Bennigson Jernigan, PH.D., M.A.
• Joanna Helene Jerose, MSW, LADC

• Medical Physician Assistant in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Medical Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.