MR. DAVID GAUTHIER (NPI# 1104997279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104997279 |
| Entity Type | Individual |
| Full Name | MR. DAVID GAUTHIER |
| Credential | MA |
| Practice Address |
432 Main St Winooski VT 05404-1338 |
| Practice Telephone | 8026553311 |
| Mailing Telephone | 8026553311 |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0680000037 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1006777 | 05 | |
| VT | BCBS | 9993 | 01 |
| Street Address |
432 MAIN ST |
| City | WINOOSKI |
| State | VT |
| Zip Code | 05404-1338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578079166 | Andrea Reynolds | Counselor | 108 Dion St, Winooski, VT 05404 | 2017-12-19 |
| 1861555922 | Eva Simon | Counselor | 20 West Canal St, Woolen Mill Offices, Winooski, VT 05404 | 2006-12-19 |
| 1326109620 | Mary E Kegelman | Nurse Practitioner | Champlain Mill, 20 Winooski Falls Way, Suite 400, Winooski, VT 05404 | 2006-12-12 |
| 1164596730 | Anne Minor Knott | Family Medicine | 32b Malletts Bay Avenue, Winooski Family Health, Winooski, VT 05404 | 2006-11-17 |
| 1376596478 | Christine M. Staats | Family Medicine | 32 East Malletts Bay Ave., Winooski, VT 05404 | 2006-05-18 |
| 1700181856 | Ashley Rebecca Bercovici | Massage Therapist | 467 Main St, Winooski, VT 05404 | 2011-01-21 |
| 1861705766 | Kandi Poulin | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2010-07-20 |
| 1063583441 | Timberlane Physical Therapy Inc | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| 1437220811 | Lesli R Bell | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| 1114098449 | Candice S Brueck | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| Find all providers in zip 05404 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578079166 | Andrea Reynolds | Counselor | 108 Dion St, Winooski, VT 05404 | 2017-12-19 |
| 1265707137 | Emily Gustafson Crowder | Counselor | 16 George St, Winooski, VT 05404-1405 | 2012-03-12 |
| 1912981804 | Elizabeth Anne Lemaire-jenkins | Counselor | 20 W Canal St, Winooski, VT 05404-2131 | 2005-12-03 |
| 1639520786 | Angelique Trynell Schultz | Counselor | 476 Main St, Winooski, VT 05404-1300 | 2016-06-29 |
| 1033482914 | Josephine M Corcoran | Counselor | 20 W Canal St, Suite C/2, Winooski, VT 05404-2131 | 2012-02-22 |
| 1740512169 | Kimberly G Hollister | Counselor | 20 W Canal St, Ste C6, Winooski, VT 05404-2131 | 2010-02-10 |
| 1295894459 | Jenny Sue Cunningham | Counselor | 20 W Canal St, Suite C2, Winooski, VT 05404-2131 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614247 | Sarah Greenspan | Counselor | 1150 Shunpike Rd, Shrewsbury, VT 05738-9713 | 2020-09-22 |
| 1396359212 | Puja Senning | Counselor | 372 Pollander Rd, Waterbury, VT 05676-9428 | 2020-09-08 |
| 1629682174 | Maya Kunigis | Counselor | 334 Southridge Rd, Williston, VT 05495-5238 | 2020-09-02 |
| 1619588001 | Ashley Ann Stackowitz | Counselor | 1624 Lillieville Brook Rd, Bethel, VT 05032-9719 | 2020-08-11 |
| 1356950984 | Keith Edward Smith | Counselor | 288 Flynn Ave Apt 26, Burlington, VT 05401-5370 | 2020-07-29 |
| 1528677325 | Gavin B Chadwell | Counselor | 337 College St Ste G, Burlington, VT 05401-8344 | 2020-07-28 |
| 1790302552 | Neil Herrick | Counselor | 97 Cedar Hill Ln Apt 12, Montpelier, VT 05602-3546 | 2020-06-28 |
| 1144847971 | Victoria Trihy | Counselor | 107 Bridge St Unit 4, Waitsfield, VT 05673-6219 | 2020-06-27 |
| 1669098737 | Ari Shapiro-miller | Counselor | 68 Finch Ct, South Burlington, VT 05403-7570 | 2020-06-24 |
| 1669096434 | Callie Douglass | Counselor | 337 College St, Burlington, VT 05401-8344 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
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| 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.