NORTHEASTERN VT REG HOSP (NPI# 1558636092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558636092 |
| Entity Type | Organization |
| Organization Name | NORTHEASTERN VT REG HOSP |
| Other Organization Name | NORTHEASTERN VT REG HOSP |
| Practice Address |
1315 Hospital Dr St Johnsbury VT 05819-9210 |
| Practice Telephone | 8027487408 |
| Practice Fax Number | 8027487591 |
| Mailing Telephone | 8027487408 |
| Mailing Fax Number | 8027487591 |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |
| Authorized Official Name | MICHAEL AUGER (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 8027487428 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
037.0001315 | VT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4704462 | 01 |
| Other Name | Type Code |
|---|---|
| Northeastern VT Reg Hosp | Doing Business As Name - Organization |
| Street Address |
1315 HOSPITAL DR |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819-9210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531477 | Robert J Grant | Emergency Medicine | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2005-07-12 |
| 1083245963 | Kevin M Crawley | Dietitian, Registered | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2020-01-30 |
| 1942778717 | Jessica Foulke | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2018-11-08 |
| 1548770191 | Courtenay Allen Lahey | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-10-10 |
| 1013430511 | Northeastern Vermont Regional Hospital, Inc | Internal Medicine | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-07-18 |
| 1386184372 | Kelly Lemieux | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-02-24 |
| 1073973236 | Jennifer K Winings | Physician Assistant | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1154781268 | Nicholas Delaney | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1003275397 | Katherine A. Harris | Social Worker | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-02-16 |
| 1386001345 | Leah Marie Pearl | Nurse Anesthetist, Certified Registered | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095475 | Ty Macwalters | Pharmacy | 130 Fisher Road, Central Vermont Medical Center, Berlin, VT 05602-0560 | 2017-07-13 |
| 1295947950 | Brattleboro Retreat | Pharmacy | Anna Marsh Lane, Brattleboro, VT 05301 | 2007-05-04 |
| 1386689875 | Northwestern Medical Center Inc | Pharmacy | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2006-06-18 |
| 1629010194 | Southwestern Vermont Medical Center Inc | Pharmacy | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-06-11 |
| City | ST JOHNSBURY |
| Zip Code | 05819 |
Please comment or provide details below to improve the information on NORTHEASTERN VT REG HOSP.
| 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.