DR. SUZANNE REVOIR PARKER (NPI# 1659438323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659438323 |
| Entity Type | Individual |
| Full Name | DR. SUZANNE REVOIR PARKER |
| Credential | M.D. |
| Practice Address |
118 Pine St Burlington VT 05401-8421 |
| Mailing Address |
311 Whalley Rd Charlotte VT 05445-9532 |
| Practice Telephone | 8028646595 |
| Practice Fax Number | 8028624062 |
| Mailing Telephone | 8024253339 |
| Mailing Fax Number | 8024253412 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
0420005358 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1002805 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386962413 | Suzanne Parker | Pharmacist | 2240 Belleair Rd Ste 250, Clearwater, FL 33764-2789 | 2010-05-13 |
| 1770930331 | Suzanne Parker | Speech-Language Pathologist | 1506a Allen St, Springfield, MA 01118-1817 | 2016-05-24 |
| Street Address |
118 PINE ST |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-8421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124041348 | William S Grass | Psychiatry & Neurology | 118 Pine St, Burlington, VT 05401-8421 | 2006-07-26 |
| 1013264498 | C. Emma Burrous, Ph.d., Plc | Psychologist | 118 Pine St, Burlington, VT 05401-8421 | 2012-08-05 |
| 1114129871 | Elizabeth Anne Seward | Internal Medicine | 118 Pine St, Burlington, VT 05401-8421 | 2007-06-04 |
| 1629282876 | Carrie Emma Burrous | Psychologist | 118 Pine St, Burlington, VT 05401-8421 | 2007-05-09 |
| 1649394552 | John Ray Edwards | Psychiatry & Neurology | 118 Pine St, Burlington, VT 05401-8421 | 2007-03-17 |
| 1700926763 | Debra Lopez Gottesman | Psychiatry & Neurology | 118 Pine St, Burlington, VT 05401-8421 | 2007-02-07 |
| 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 | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336537455 | Lund Family Center, Inc. | Psychiatry & Neurology | 50 Joy Dr, South Burlington, VT 05403-6118 | 2014-12-23 |
| 1699904516 | Julie Poulin | Psychiatry & Neurology | 160 Allen St, Rutland, VT 05701-4560 | 2009-07-13 |
| 1669575916 | William Brinson Weeks | Psychiatry & Neurology | 215 N Main St, Vamc (11q), White River Junction, VT 05009-0001 | 2006-09-05 |
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on DR. SUZANNE REVOIR PARKER.
| 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.