BENNINGTON COLLEGE HEALTH SERVICES (NPI# 1750596110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750596110 |
| Entity Type | Organization |
| Organization Name | BENNINGTON COLLEGE HEALTH SERVICES |
| Practice Address |
1 College Drive Bennington VT 05201-0006 |
| Practice Telephone | 8024404426 |
| Practice Fax Number | 8024404427 |
| Mailing Telephone | 8024404426 |
| Mailing Fax Number | 8024404427 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RANDALL S ANSELMO (DIRECTOR OF HEALTH SERVICES) |
| Authorized Official Telephone | 8024404426 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163W00000X | Registered Nurse | 0260009599 | VT | Nursing Service Providers |
| X | 163W00000X | Registered Nurse | 0260008617 | VT | Nursing Service Providers |
| X | 163W00000X | Registered Nurse | 0260029265 | VT | Nursing Service Providers |
| X | 207Q00000X | Family Medicine | 0420010651 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | BLUE CROSS BLUE SHIELD | BENN00005278 | 01 |
| BOLLINGER INC | CVT405C | 01 |
| Street Address |
1 COLLEGE DRIVE |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-0006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629280276 | Bennington College Psychological Services | Psychologist | 1 College Drive, Bennington, VT 05201-0006 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215184981 | Donna M Alexander | Registered Nurse | 100 Ledgehill Rd, Bennington, VT 05201-2273 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194333013 | Mitya Schoppe | Registered Nurse | 18 N Main Street, White River Junction, VT 05001-9693 | 2020-07-16 |
| 1568084341 | Crydege Makoumbou | Registered Nurse | 343 N Winooski Ave Unit 15, Burlington, VT 05401-3956 | 2020-05-14 |
| 1437770211 | Kristen Orvis Salter | Registered Nurse | 1218 Vt Route 17 E, Addison, VT 05491-8621 | 2020-05-03 |
| 1972123800 | Melissa Ann Adams | Registered Nurse | 18 Margaret St, Essex Junction, VT 05452-3376 | 2020-04-21 |
| 1164053997 | Jill A. King | Registered Nurse | 10 Lincoln Street, Springfield, VT 05156-2226 | 2020-01-30 |
| 1780222430 | Nancy Carole Benson | Registered Nurse | 466 Quarry Rd, Perkinsville, VT 05151-9608 | 2019-12-12 |
| 1982240453 | Megan Hope Mackinnon | Registered Nurse | 13 General Greene Rd, Shelburne, VT 05482-7636 | 2019-11-20 |
| 1023651882 | Erika Anna Smith | Registered Nurse | 1365 North St, Montpelier, VT 05602-9418 | 2019-10-24 |
| 1639630825 | Jessica Erin Kulp | Registered Nurse | 441 Pomfret Rd, West Hartford, VT 05084-9703 | 2019-03-29 |
| 1245721281 | Michelle Mae Mortimer | Registered Nurse | 130 Duke Road, Williamsville, VT 05362 | 2018-05-25 |
| Find all providers with the same taxonomy | ||||
| City | BENNINGTON |
| Zip Code | 05201 |
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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.