MARY ANNE KOHN (NPI# 1639521412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639521412 |
| Entity Type | Individual |
| Full Name | MARY ANNE KOHN |
| Credential | NP |
| Practice Address |
789 Pine St Burlington VT 05401 |
| Mailing Address |
617 Riverside Ave Burlington VT 05401-1601 |
| Practice Telephone | 8028640693 |
| Practice Fax Number | 8028604313 |
| Mailing Telephone | 8028646309 |
| Mailing Fax Number | 8028604313 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
101.0134139 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1033787 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 617 Riverside Ave, Burlington, VT 054011601 | 8028646309 | 8028604313 |
| Street Address |
789 PINE ST |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321842 | Heather Anne Larose | Physician Assistant | 789 Pine St, Burlington, VT 05401 | 2005-07-26 |
| 1942852652 | Jordan Young | Specialist/Technologist | 789 Pine St, Burlington, VT 05401-4933 | 2019-07-12 |
| 1528444056 | Michael A Cooper | Physical Therapist | 789 Pine St, Burlington, VT 05401-4933 | 2015-08-06 |
| 1003237561 | Daniel Kraucunas | Specialist/Technologist | 789 Pine St, Burlington, VT 05401-4933 | 2013-12-30 |
| 1770626632 | Perry and Slesnick, PC | Dentist | 789 Pine St, Burlington, VT 05401-4933 | 2007-02-14 |
| 1770651523 | All Seasons Physical Therapy Consultants Inc | Physical Therapist | 789 Pine St, Burlington, VT 05401-4933 | 2006-12-01 |
| 1205900495 | Patrick J Paldino | Dentist | 789 Pine St, Burlington, VT 05401-4933 | 2006-11-20 |
| 1497764658 | Micum Kyle Mcintire | Specialist/Technologist | 789 Pine St, Burlington, VT 05401-4933 | 2006-08-05 |
| 1891741088 | Keith Hunter Karpinski | Physical Therapist | 789 Pine St, Burlington, VT 05401-4933 | 2006-05-26 |
| 1982658654 | Vivian Esparza | Family Medicine | 789 Pine St, Burlington, VT 05401-4933 | 2006-05-19 |
| 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 | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304409 | Elizabeth Edacheril Poulose | Nurse Practitioner | 1041 Kirkpatrick Rd Ste 100, Burlington, NC 27215-8066 | 2018-11-05 |
| 1548748189 | Sarah Newman | Nurse Practitioner | 41 Mall Rd, Burlington, MA 01805-0001 | 2018-08-06 |
| 1336659259 | Brandi D Vazquez | Nurse Practitioner | 791 Boone Station Dr, Burlington, NC 27215-9775 | 2017-10-05 |
| 1003286121 | Carrie Doss | Nurse Practitioner | 1409 University Dr, Suite 105, Burlington, NC 27215-8776 | 2015-10-01 |
| 1164816716 | Deborah Sullivan | Nurse Practitioner | 41 Mall Rd, Trauma Office 2t53, Burlington, MA 01805-0001 | 2015-03-22 |
| 1063642130 | Jessica Anna Rubio | Nurse Practitioner | 221 N Graham Hopedale Rd, Burlington, NC 27217-2971 | 2009-07-22 |
| 1891895371 | Linda M Sickorez | Nurse Practitioner | 41 Mall Rd, Burlington, MA 01805-0001 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546294 | Steacy Lynne Suddaby | Nurse Practitioner | 272 N Main Street, Suite 101, Cambridge, VT 05444-0102 | 2020-10-21 |
| 1790293777 | Jamie Rogers | Nurse Practitioner | 677 Vt Rte 7a, Shaftsbury, VT 05262-0379 | 2018-01-12 |
| 1669614368 | Mary Claire Masson | Nurse Practitioner | One Winooski Park, St. Michael's College Student Health Services, Colchester, VT 05439 | 2009-03-27 |
| 1437132362 | Dorothy Malone-rising | Nurse Practitioner | 384 Lower Main W, Johnson, VT 05656-9632 | 2005-11-23 |
| 1104426238 | Meredith Welsh | Nurse Practitioner | 331 Olcott Dr Ste U3, White River Junction, VT 05001-9263 | 2020-10-28 |
| 1750999470 | Melanie Anne Black | Nurse Practitioner | 163 Veterans Dr, White River Junction, VT 05009-0001 | 2020-07-20 |
| 1215550116 | Karen Gibbs | Nurse Practitioner | 142 Woodridge Rd, Berlin, VT 05602-9165 | 2020-05-26 |
| 1992354112 | Minta Trivette | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2019-09-10 |
| 1952963274 | Anne Brereton | Nurse Practitioner | 1311 Barre-montpelier Road, Berlin, VT 05602 | 2019-07-08 |
| 1043712342 | Linda Ann Fasci | Nurse Practitioner | 118 Clark Rd, Williamstown, VT 05679-9449 | 2018-03-02 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on MARY ANNE KOHN.
| 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.