AVENA INTEGRATIVE MEDICINE (NPI# 1013514991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013514991 |
| Entity Type | Organization |
| Organization Name | AVENA INTEGRATIVE MEDICINE |
| Practice Address |
453 Stone Cutters Way Montpelier VT 05602-4431 |
| Practice Telephone | 8022384174 |
| Mailing Telephone | 8022384174 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | DR. KRISTIN DAWN RENNER (OWNER/MANAGER) |
| Authorized Official Telephone | 8022384174 |
| Authorized Official Credential | ND, L.AC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
453 STONE CUTTERS WAY |
| City | MONTPELIER |
| State | VT |
| Zip Code | 05602-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476981 | Morgan Lamson | Nurse Practitioner | Central Vermont Medical Center, 130 Fisher Road, Berlin, VT 05602 | 2020-01-22 |
| 1265086037 | Abbey Lynne Rouleau | Nurse Practitioner | Cvmc Palliative Care, 130 Fisher Road 2nd Floor, Berlin, VT 05602 | 2019-07-30 |
| 1295229896 | Julia Chafets | Social Worker | 132 Main St Ste 2, Montpelier, VT 05602 | 2018-06-18 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1528506508 | Caitlin Roberts | Specialist/Technologist | 930 Gallison Hill Rd, U32 Middle and High School, Montpelier, VT 05602 | 2017-02-09 |
| 1417493297 | Sayed Shahabodin Khatounabadi | Pharmacist | 29-31 Main St, Montpelier, VT 05602 | 2017-01-17 |
| 1972052660 | Frangis Aliakbarkhani | Pharmacist | 29-31 Main St., Montpelier, VT 05602 | 2016-09-23 |
| 1144676610 | Shippee Family Eye Care PC | Optometrist | 15 East State St, Montpelier, VT 05602 | 2016-05-13 |
| 1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
| 1790193985 | Jennifer Sanborn | Counselor | 246 Granger Rd., Suite 2, Berlin, VT 05602 | 2014-07-31 |
| Find all providers in zip 05602 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859089 | Garnet Transport Medicine, LLC | Clinic/Center | 1000 River St Bldg 900, Essex Junction, VT 05452-4201 | 2020-07-29 |
| 1114195419 | Lakes Region Healthcare | Clinic/Center | 49 Castleton Meadows Ln, Castleton, VT 05735-9011 | 2008-02-20 |
| 1407939721 | Family Practice Associates Inc | Clinic/Center | 272 No Main St, Suite 101, Cambridge, VT 05444 | 2006-10-23 |
| 1093761835 | Charlotte Family Health Center Inc | Clinic/Center | 527 Ferry Rd, Charlotte, VT 05445-9555 | 2006-05-25 |
| 1437618022 | Rutland Family Care, LLC | Clinic/Center | 25 N Main St, Rutland, VT 05701-6100 | 2019-03-14 |
| 1487124202 | Gordon Gieg Md Pllc | Clinic/Center | 5138 Shelburne Rd, Shelburne, VT 05482-6698 | 2018-12-05 |
| 1144755455 | Samuel R. Stoyak, M.d., Plc | Clinic/Center | 43 Timber Ln, South Burlington, VT 05403-5201 | 2017-04-24 |
| 1306116801 | Hope Medical Clinic Pllc | Clinic/Center | 92 Allen St, Rutland, VT 05701-4562 | 2011-12-31 |
| 1336397926 | Southwestern Vermont Medical Center Inc. | Clinic/Center | 339 Dewey St, Bennington, VT 05201-2253 | 2008-09-08 |
| 1861640161 | Little Rivers Health Care, Inc. | Clinic/Center | 65 Main Street, Wells River, VT 05081 | 2008-08-29 |
| Find all providers with the same taxonomy | ||||
| City | MONTPELIER |
| Zip Code | 05602 |
Please comment or provide details below to improve the information on AVENA INTEGRATIVE MEDICINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.