Individual provider Active NPI

Julia Alison Chickering, PA-C

  • Physician Assistant
  • Lebanon, NH
National Provider Identifier
1811415193
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1488 Issued in NH
Practice address
1 Medical Center Dr
Lebanon, NH 03756
Phone
(603) 650-5104
NPI assigned
Sep 6, 2017
Last updated
Oct 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 055.0031358 VT
Physician Assistant 363A00000X 1488 NH Primary

Addresses

Primary practice location

1 Medical Center Dr
Lebanon, NH 03756

Mailing address

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5104

Other practice location 1

25 Ridgewood Rd
Springfield, VT 05156-3050
Phone (802) 885-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171031000121 VT Practitioner - Physician Assistant 2264708635 Reassigns benefits to 1 organization
I20190923000948 NH Practitioner - Physician Assistant 2264708635 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Elm St
Ludlow, VT 05149-1301
Phone (802) 228-8867

1 Hospital CT
Bellows Falls, VT 05101-1489
Phone (802) 463-9000

100 River St
Springfield, VT 05156-2930
Phone (802) 886-8900

250 Ceda Rd
Charlestown, NH 03603-4511
Phone (603) 826-5711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1488NHMDSpeech-Language Pathologist
055.0031358VTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic CurrentSince Sep 1, 2019 Accepting new patients
Springfield Medical Care Systems Inc CurrentSince Oct 1, 2017 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Sep 1, 2019 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Sep 1, 2019 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Sep 1, 2019 Accepting new patients
Springfield Medical Care Systems Inc. CurrentSince Oct 1, 2017 Accepting new patients

Locations

250 Ceda Rd
Charlestown, NH 03603
Phone (603) 826-5711

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

1 Hospital Ct
Bellows Falls, VT 05101
Phone (802) 463-1292

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21546/brand/1/csg/1/fhir/r4
  • Direct secure messaging: julia.chickering.1@24182.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1811415193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037560001",
            "telephone_number": "603-650-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03756",
            "telephone_number": "603-650-5104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Ridgewood Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VT",
            "postal_code": "051563050",
            "country_code": "US",
            "telephone_number": "802-885-2151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHICKERING",
        "first_name": "JULIA",
        "middle_name": "ALISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055.0031358",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.