STATE OF VERMONT (NPI# 1164542361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164542361 |
| Entity Type | Organization |
| Organization Name | STATE OF VERMONT |
| Practice Address |
108 Cherry St Burlington VT 05401-4295 |
| Mailing Address |
Po Box 70 Burlington VT 05402-0070 |
| Practice Telephone | 8028637338 |
| Practice Fax Number | 8028637635 |
| Mailing Telephone | 8028637338 |
| Mailing Fax Number | 8028637635 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | PATRICK BURKE (FEDERAL PROGRAMS ADMINISTRATOR) |
| Authorized Official Telephone | 8028637257 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1002536 | 05 | |
| VT | 0005099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518394212 | State of Vermont | Community Based Residential Treatment Facility, Mental Illness | 1076 Us Rte 2, Middlesex, VT 05633-7801 | 2013-09-26 |
| 1215151410 | State of Vermont | Clinical Medical Laboratory | Vermont Public Health Laboratory, 359 South Park Drive, Colchester, VT 05446 | 2007-04-12 |
| 1215017678 | State of Vermont | Psychiatry & Neurology | 103 South Main Street, Waterbury, VT 05671-9800 | 2006-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | STATE OF VERMONT - YOUTH CONSERVATION CORPS, INC. | 1949 East Main St., Richmond, VT 05477 |
| Vermont Business Registrations | STATE OF VERMONT BUSINESS CARD EXCHANGE | Pob 110, So. Barre, VT 05670 |
| Street Address |
108 CHERRY ST |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-4295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699726729 | Wendy Sue Davis | Pediatrics | 108 Cherry St, Burlington, VT 05401 | 2006-05-13 |
| 1154557882 | Linda Ann Hazard | Audiologist | 108 Cherry St, Burlington, VT 05402-0070 | 2009-06-09 |
| 1821245713 | Kathryn Workman-daniels | Clinical Neuropsychologist | 108 Cherry St, Cshn, Burlington, VT 05401-4295 | 2008-08-21 |
| 1659596062 | Carol R Hassler | Pediatrics | 108 Cherry St, Drawer 37, Burlington, VT 05401-4295 | 2007-04-13 |
| 1235250499 | Jeanne Ellyn Greenblatt | Psychiatry & Neurology | 108 Cherry St, Burlington, VT 05401-4295 | 2007-04-03 |
| 1982736989 | Kimberly Jo Aakre | Pediatrics | 108 Cherry St, Burlington, VT 05401-4295 | 2007-03-12 |
| 1659406296 | Vermont Department of Mental Health | Clinic/Center | 108 Cherry St, Burlington, VT 05401-4295 | 2007-02-23 |
| 1831252386 | Stacy M. Jordan | Audiologist | 108 Cherry St, Burlington, VT 05401-4295 | 2006-12-18 |
| 1396808853 | Sydney S Abernathy | Audiologist | 108 Cherry St, Burlington, VT 05401-4295 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285731406 | County of Coffey | Clinic/Center | 110 S 6th St, Burlington, KS 66839-1798 | 2006-09-20 |
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on STATE OF VERMONT.
| 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.