LEAH MARIETTE MACAULAY (NPI# 1124357215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124357215 |
| Entity Type | Individual |
| Full Name | LEAH MARIETTE MACAULAY |
| Other Name | LEAH MARIETTE PORTER |
| Credential | P.N.P |
| Practice Address |
51 Timber Ln South Burlington VT 05403 |
| Mailing Address |
66 Knight Ln Ste 10 Williston VT 05495-9308 |
| Practice Telephone | 8028640521 |
| Practice Fax Number | 8028646475 |
| Mailing Telephone | 8028724343 |
| Mailing Fax Number | 8022881144 |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 101.0060740 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1019167 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 927 Ethan Allen Hwy, Milton, VT 05468 | 8025272237 | 8025272267 |
| 1199 Main St, Fairfax, VT 054549530 | 8028462844 |
| Street Address |
51 TIMBER LN |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487628608 | Thomas G Bolduc | Pediatrics | 51 Timber Ln, South Burlington, VT 05403-5201 | 2006-02-14 |
| 1437550738 | Marlena Silva | Counselor | 51 Timber Ln, South Burlington, VT 05403-5201 | 2014-09-06 |
| 1326292269 | Leah Mclane Costello | Pediatrics | 51 Timber Ln, South Burlington, VT 05403-5201 | 2008-11-05 |
| 1003075508 | Madeline B Mann | Nurse Practitioner | 51 Timber Ln, South Burlington, VT 05403-5201 | 2008-06-09 |
| 1982871216 | Katharine B Margulius | Physician Assistant | 51 Timber Ln, South Burlington, VT 05403-5201 | 2008-05-15 |
| 1346433851 | Rebecca A Nagle | Nurse Practitioner | 51 Timber Ln, South Burlington, VT 05403-5201 | 2007-08-20 |
| 1366575771 | Elizabeth Ann Hunt | Pediatrics | 51 Timber Ln, South Burlington, VT 05403-5201 | 2007-03-14 |
| 1336105899 | John J Murray | Pediatrics | 51 Timber Ln, South Burlington, VT 05403-5201 | 2006-04-25 |
| 1063478501 | Barbara C Kennedy | Pediatrics | 51 Timber Ln, South Burlington, VT 05403-5201 | 2006-04-24 |
| 1235194333 | Monica C Fiorenza | Pediatrics | 51 Timber Ln, South Burlington, VT 05403-5201 | 2006-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938975 | Josee-ann Guay | Student in an Organized Health Care Education/Training Program | 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 | 2019-05-22 |
| 1821556390 | Alexander Taite Carpenter | Specialist/Technologist | 2069 Williston Road Ap #2, South Burlington, VT 05403 | 2019-03-04 |
| 1144732785 | Molly Koch Parker | Dietitian, Registered | 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 | 2017-11-03 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1467908525 | Rinaben P Patel | Pharmacist | 39 Hinesburd Road, South Burlington, VT 05403 | 2016-08-29 |
| 1770949950 | Tara Flor | Chiropractor | 30 Farrell St Ste 100, South Burlington, VT 05403 | 2016-01-04 |
| 1356716187 | Frank Breen | Counselor | 163 Hinesburg Road, South Burlington, VT 05403 | 2015-12-04 |
| 1063808210 | Lisa C Harrington | Registered Nurse | Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 | 2015-04-14 |
| 1083018626 | Jessica Jablonski | Speech-Language Pathologist | 2 Baldwin Ave, South Burlington, VT 05403 | 2014-10-10 |
| 1538590567 | Vasta Physical Therapy, Inc | Physical Therapist | 340 Dorset Street, Suite 2, South Burlington, VT 05403 | 2013-12-02 |
| Find all providers in zip 05403 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457985590 | Mh 102, PC | Nurse Practitioner | 193 Tilley Dr, South Burlington, VT 05403-4440 | 2020-02-27 |
| 1124210570 | Deborah Moyer | Nurse Practitioner | 62 Tilley Dr Ste 101, South Burlington, VT 05403-4407 | 2007-08-09 |
| 1598735128 | Jennifer Laurent | Nurse Practitioner | 368 Dorset St Ste 1, South Burlington, VT 05403-6236 | 2006-01-25 |
| 1134742893 | Marathon Health LLC | Nurse Practitioner | 1 Kennedy Dr, South Burlington, VT 05403-7152 | 2020-05-28 |
| 1497232250 | Timothy Schad | Nurse Practitioner | 3 Timber Ln, South Burlington, VT 05403 | 2018-07-25 |
| 1578955761 | Trillium Integrative Medicine | Nurse Practitioner | 368 Dorset St, South Burlington, VT 05403-6236 | 2015-02-24 |
| 1346433851 | Rebecca A Nagle | Nurse Practitioner | 51 Timber Ln, South Burlington, VT 05403-5201 | 2007-08-20 |
| 1194757542 | Bob A. Lavalette | Nurse Practitioner | 6 San Remo Dr, South Burlington, VT 05403-6310 | 2006-07-07 |
| 1417908286 | Clodagh Coghlan | Nurse Practitioner | 368 Dorset St, Suite 1, South Burlington, VT 05403-6236 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063020642 | Alma Matugas Winther | Nurse Practitioner | 154 Sullivan Dr, Putney, VT 05346-8664 | 2020-07-20 |
| 1073147138 | Marathon Health LLC | Nurse Practitioner | 20 Winooski Falls Way Ste 400, Winooski, VT 05404-2239 | 2020-02-27 |
| 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 |
| 1104145069 | Shauna Mckeon | Nurse Practitioner | 1 Alden Pl, Vergennes, VT 05491-1102 | 2010-05-18 |
| 1952550691 | Susan Fagan Barry | Nurse Practitioner | St Michaels College Health, Smc Pob 259, Colchester, VT 05439-0001 | 2008-09-18 |
| 1578697884 | Elise Marie Mcclintock | Nurse Practitioner | 5110 Middlebury College, Middlebury, VT 05753 | 2007-03-16 |
| 1235285693 | Nancy Lynne Duncan | Nurse Practitioner | 29 Reed St, Brattleboro, VT 05301-4455 | 2007-01-26 |
| 1609888684 | Durrelle T Whitmore | Nurse Practitioner | 720 Village Road, East Corinth, VT 05040 | 2006-08-11 |
| 1730111360 | Carrie J Norful | Nurse Practitioner | 4 Park St, Winooski, VT 05404-1549 | 2006-07-06 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
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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.