ILENE B SIEGEL (NPI# 1306967054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306967054 |
| Entity Type | Individual |
| Full Name | ILENE B SIEGEL |
| Credential | RD |
| Practice Address |
130 Fisher Rd Berlin VT 05602-9516 |
| Mailing Address |
Po Box 547 Att: Cvmc Finance Dept Barre VT 05641-0547 |
| Practice Telephone | 8023714152 |
| Practice Fax Number | 8023714572 |
| Mailing Telephone | 8023714152 |
| Mailing Fax Number | 8023714572 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2013-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
074-0000033 | VT | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | BCBS PROVIDER NUMBER | 28599 | 01 |
| VT | 1022299 | 05 |
| Street Address |
130 FISHER RD |
| City | BERLIN |
| State | VT |
| Zip Code | 05602-9516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067063 | Michael S Cohn | Urology | 130 Fisher Rd, Mob-c, Ste 1, Berlin, VT 05602-9516 | 2005-07-18 |
| 1194384974 | David Alexander Segel | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2019-06-06 |
| 1497210959 | Brenda Neff | Nurse Practitioner | 130 Fisher Rd, Berlin, VT 05602-9516 | 2019-02-08 |
| 1861969412 | Michael Ed Shaw | Physician Assistant | 130 Fisher Rd, Berlin, VT 05602-9516 | 2018-10-31 |
| 1750819371 | Jamie D Bariteau | Nurse Practitioner | 130 Fisher Rd, Berlin, VT 05602-9516 | 2017-05-25 |
| 1104378066 | Amy Gendron | Dietitian, Registered | 130 Fisher Rd, Central Vermont Medical Center, Berlin, VT 05602-9516 | 2016-10-26 |
| 1457809238 | Bonnie Solley | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2016-09-21 |
| 1598150914 | Melissa Beaudry | Nurse Practitioner | 130 Fisher Rd, Mob-b Suite 3, Berlin, VT 05602 | 2015-04-02 |
| 1508256843 | Heidi Eames | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2015-01-26 |
| 1053725200 | Brett Erdreich | Internal Medicine | 130 Fisher Rd, Berlin, VT 05602 | 2014-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1295229896 | Julia Chafets | Social Worker | 132 Main St Ste 2, Montpelier, VT 05602 | 2018-06-18 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1528506508 | Caitlin Roberts | Specialist/Technologist | 930 Gallison Hill Rd, U32 Middle and High School, Montpelier, VT 05602 | 2017-02-09 |
| 1417493297 | Sayed Shahabodin Khatounabadi | Pharmacist | 29-31 Main St, Montpelier, VT 05602 | 2017-01-17 |
| 1972052660 | Frangis Aliakbarkhani | Pharmacist | 29-31 Main St., Montpelier, VT 05602 | 2016-09-23 |
| 1144676610 | Shippee Family Eye Care PC | Optometrist | 15 East State St, Montpelier, VT 05602 | 2016-05-13 |
| 1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
| 1790193985 | Jennifer Sanborn | Counselor | 246 Granger Rd., Suite 2, Berlin, VT 05602 | 2014-07-31 |
| Find all providers in zip 05602 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295203404 | Jean Marie Copeland | Nutritionist | 1422 Vt Route 66, Randolph, VT 05060-7718 | 2018-11-06 |
| 1003271883 | Ann Marie Dixon | Nutritionist | 265 Green Rd, East Montpelier, VT 05651-4246 | 2015-12-22 |
| 1700209038 | Mary Shea Rosen | Nutritionist | 449 Guilford St, Brattleboro, VT 05301-6401 | 2014-01-22 |
| 1013157221 | Lucien Manson | Nutritionist | 288 Flynn Ave Apt 7, Burlington, VT 05401-5369 | 2009-02-27 |
| 1831210574 | Sylvia Marie Gaboriault | Nutritionist | 141 Main St Ste 1, Montpelier, VT 05602 | 2007-04-02 |
| 1457491052 | Elizabeth R Jones | Nutritionist | 1759 Back Windham Rd, West Townshend, VT 05359 | 2007-02-06 |
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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.