MRS. MARCIA M BRISTOW (NPI# 1235411174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235411174 |
Entity Type | Individual |
Full Name | MRS. MARCIA M BRISTOW |
Credential | MS RD CD |
Practice Address |
128 Lakeside Ave Burlington VT 05401-4939 |
Mailing Address |
3528 Harbor Rd Shelburne VT 05482-7795 |
Practice Telephone | 8027779691 |
Practice Fax Number | 8029859947 |
Mailing Telephone | 8027779691 |
Mailing Fax Number | 8029859947 |
Enumeration Date | 2011-09-16 |
Last Update Date | 2011-09-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
0740076077 | VT | Dietary & Nutritional Service Providers |
Street Address |
128 LAKESIDE AVE |
City | BURLINGTON |
State | VT |
Zip Code | 05401-4939 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104880426 | Lakeside Pediatrics, Pllc | Pediatrics | 128 Lakeside Ave, Suite 115, Burlington, VT 05401-4939 | 2006-04-13 |
1366051690 | Brianna Kristine Johnson | Nurse Practitioner | 128 Lakeside Ave, Burlington, VT 05401-4939 | 2020-07-22 |
1316427743 | Heejung Charron | Nurse Practitioner | 128 Lakeside Ave, Burlington, VT 05401-4939 | 2018-08-15 |
1265815690 | Salissa Wahlers | Social Worker | 128 Lakeside Ave, Ste 260, Burlington, VT 05401-4939 | 2015-07-02 |
1174880876 | Ashley Boyd | Nurse Practitioner | 128 Lakeside Ave, Suite 115, Burlington, VT 05401-4939 | 2012-04-19 |
1649549122 | Fueling Fitness Plc | Dietitian, Registered | 128 Lakeside Ave, Burlington, VT 05401-4939 | 2011-12-29 |
1366641086 | Gregory Connolly | Pediatrics | 128 Lakeside Ave, Suite 115, Burlington, VT 05401-4939 | 2007-07-12 |
1215023635 | Planned Parenthood of Northern New England | Non-Pharmacy Dispensing Site | 128 Lakeside Ave, Ste 301, Burlington, VT 05401-4939 | 2006-10-04 |
1902815376 | Tonya Wilkinson | Nurse Practitioner | 128 Lakeside Ave, Suite 115, Burlington, VT 05401-4939 | 2006-08-05 |
1033159025 | Joseph Francis Hagan Jr. | Pediatrics | 128 Lakeside Ave, Suite 115, Burlington, VT 05401-4939 | 2006-06-07 |
Find all providers in the same location |
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 | 133VN1006X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Metabolic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750465746 | Kristen Bolton | Dietitian, Registered | 1 S Prospect St, Uhc 5th Floor, Burlington, VT 05401-3456 | 2006-10-25 |
1477568913 | Bonnie Jean Beynnon | Dietitian, Registered | 111 Colchester Ave, Engineering 328, Burlington, VT 05401-1473 | 2006-07-31 |
City | BURLINGTON |
Zip Code | 05401 |
Please comment or provide details below to improve the information on MRS. MARCIA M BRISTOW.
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.