MRS. MARCIA M BRISTOW


Address: 128 Lakeside Ave, Burlington, VT 05401-4939
Phone: 8027779691

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
0740076077 VT Dietary & Nutritional Service Providers

Office Location

Street Address 128 LAKESIDE AVE
City BURLINGTON
State VT
Zip Code 05401-4939

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City BURLINGTON
Zip Code 05401

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Dataset Information

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.

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