D'VINE MEDICAL SPA, LLC (NPI# 1598199135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598199135 |
| Entity Type | Organization |
| Organization Name | D'VINE MEDICAL SPA, LLC |
| Practice Address |
590 Middlebury Rd Suite 1 Middlebury CT 06762-2562 |
| Mailing Address |
Po Box 851 Suite 1 Middlebury CT 06762-0851 |
| Practice Telephone | 2032320208 |
| Mailing Telephone | 2032320208 |
| Enumeration Date | 2013-08-31 |
| Last Update Date | 2013-10-22 |
| Authorized Official Name | MRS. NADINE MACARON (PARTNER) |
| Authorized Official Telephone | 2032320208 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
590 MIDDLEBURY RD SUITE 1 |
| City | MIDDLEBURY |
| State | CT |
| Zip Code | 06762-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962475871 | Maureen A Devlin | Dietitian, Registered | 590 Middlebury Rd, Middlebury, CT 06762-2554 | 2006-02-10 |
| 1245696798 | Krista Derosa | Registered Nurse | 590 Middlebury Rd, Middlebury, CT 06762-2562 | 2016-01-13 |
| 1710398516 | Katherine Jones | Massage Therapist | 590 Middlebury Rd, Middlebury, CT 06762-2562 | 2014-05-14 |
| 1326469057 | Rizza Chiropractic and Wellness, LLC | Point of Service | 590 Middlebury Rd, Suite B, Middlebury, CT 06762-2562 | 2013-12-24 |
| 1144582479 | Chelsea Benard | Occupational Therapist | 590 Middlebury Rd, Middlebury, CT 06762-2562 | 2012-06-12 |
| 1265794903 | Nadia Desimone | Speech-Language Pathologist | 590 Middlebury Rd, Middlebury, CT 06762-2562 | 2012-06-08 |
| 1538439237 | Jason P Rizza | Chiropractor | 590 Middlebury Rd, Suite 2, Middlebury, CT 06762-2562 | 2012-01-11 |
| 1720373566 | Emma Yungk | Occupational Therapist | 590 Middlebury Rd, Suite A, Middlebury, CT 06762-2562 | 2011-06-09 |
| 1295027589 | Advance Therapy Associates | Clinic/Center | 590 Middlebury Rd, Middlebury, CT 06762-2562 | 2011-05-05 |
| 1073817466 | Sharmilee Jayachandran | Naturopath | 590 Middlebury Rd, Middlebury, CT 06762-2562 | 2010-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164895314 | Naugatuck Valley Womens Health Specialists PC | Obstetrics & Gynecology | 686 Straits Turnpike, 2a, Middlebury, CT 06762 | 2015-11-10 |
| 1588047153 | Princess Corset & Lingerie Shop II, LLC | Durable Medical Equipment & Medical Supplies | 900 Straits Turnpike, Suite 1 G, Middlebury, CT 06762 | 2015-07-01 |
| 1437423985 | Gretchen R. Cianciola | Dental Hygienist | 12 Nantucket Way, Middlebury, CT 06762 | 2012-03-01 |
| 1124395223 | Tlc Homecare LLC | Home Health | 900 Straits Tpke Ste 205, Middlebury, CT 06762 | 2011-11-18 |
| 1588893952 | Catherine Ann Accashian | Occupational Therapist | 778 Middlebury Road, Middlebury Convalescent Center, Middlebury, CT 06762 | 2009-07-07 |
| 1013081819 | Waltor M Phillips | Psychologist | 415 Middlebury Road, Middlebury, CT 06762 | 2006-11-20 |
| 1518922608 | W Kenneth Miner | Physician Assistant | 1579 Straits Turnpike, Turnpike Office Park, Middlebury, CT 06762 | 2006-04-20 |
| 1952366072 | John M Keggi | Orthopaedic Surgery | 1579 Straits Turnpike, Suite E, Orthopaedics New England PC, Middlebury, CT 06762 | 2006-04-20 |
| 1568443125 | Stanley J Foster IIi | Plastic Surgery | 1625 Straits Turnpike, Suite 108, Middlebury, CT 06762 | 2005-11-10 |
| 1932556602 | Karissa Piedescalzo | Social Worker | 850 Straits Tpke Ste 201, Middlebury, CT 06762 | 2016-05-23 |
| Find all providers in zip 06762 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366840464 | Roger Schmidt | Specialist | 31 Court St, Middlebury, VT 05753-1454 | 2014-12-05 |
| 1356509335 | Stephanie Osekoski | Specialist | 812 Exchange St, Middlebury, VT 05753-1555 | 2008-05-27 |
| 1780642892 | Daniel S Raabe | Specialist | 115 Porter Dr, Middlebury, VT 05753-8423 | 2006-05-01 |
| 1033431234 | Ryan Paul Bentrup | Specialist | 1641 Route 7 S, Middlebury, VT 05753-8806 | 2010-02-16 |
| 1316111271 | Middlebury Surgical, LLC | Specialist | 687 Straits Tpke, Suite 2a, Middlebury, CT 06762-2846 | 2008-04-22 |
| 1306035266 | Wilfred Brown, Md PC | Specialist | 530 Middlebury Rd, Suite 201a, Middlebury, CT 06762-2500 | 2007-10-17 |
| 1235230970 | Rachel Ann Eldredge | Specialist | 219 S Main St, Middlebury, VT 05753-1443 | 2006-09-26 |
| 1417053620 | Wilfred Brown | Specialist | 530 Middlebury Rd, Suite 201a, Middlebury, CT 06762-2500 | 2006-09-15 |
| 1962519876 | David Peter Matthews | Specialist | 219 S Main St, Middlebury, VT 05753-1443 | 2006-08-24 |
| 1356352223 | Rocco Cornacchia | Specialist | 10 N Benson Rd, Middlebury, CT 06762-3213 | 2006-08-10 |
| Find all providers in MIDDLEBURY | ||||
| City | MIDDLEBURY |
| Zip Code | 06762 |
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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.