AMY RENNER (NPI# 1770989253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770989253 |
| Entity Type | Individual |
| Full Name | AMY RENNER |
| Credential | APRN |
| Practice Address |
130 Fisher Rd Ste 3-1 Berlin VT 05602-9000 |
| Practice Telephone | 8022257000 |
| Mailing Telephone | 8022257000 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
101.0107967 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356744700 | Amy Renner | Occupational Therapist | 5425 Winton Ridge Ln, Cincinnati, OH 45232-1140 | 2014-09-30 |
| 1033492319 | Amy Gail Renner | Nurse Practitioner | 400 Wabash Ave, Akron, OH 44307-2433 | 2011-09-23 |
| Street Address |
130 FISHER RD STE 3-1 |
| City | BERLIN |
| State | VT |
| Zip Code | 05602-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174545123 | Eduards Gunars Ziedins | Surgery | 130 Fisher Rd Ste 3-1, Berlin, VT 05602-9000 | 2006-07-25 |
| 1609229707 | Grace Altebrando | Registered Nurse | 130 Fisher Rd Ste 3-1, Berlin, VT 05602-9000 | 2016-07-13 |
| 1730421231 | Anthony Rashad Williams | Family Medicine | 130 Fisher Rd Ste 3-1, Berlin Family Medicine, Berlin, VT 05602-9000 | 2013-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476981 | Morgan Lamson | Nurse Practitioner | Central Vermont Medical Center, 130 Fisher Road, Berlin, VT 05602 | 2020-01-22 |
| 1265086037 | Abbey Lynne Rouleau | Nurse Practitioner | Cvmc Palliative Care, 130 Fisher Road 2nd Floor, Berlin, VT 05602 | 2019-07-30 |
| 1295229896 | Julia Chafets | Social Worker | 132 Main St Ste 2, Montpelier, VT 05602 | 2018-06-18 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1528506508 | Caitlin Roberts | Specialist/Technologist | 930 Gallison Hill Rd, U32 Middle and High School, Montpelier, VT 05602 | 2017-02-09 |
| 1417493297 | Sayed Shahabodin Khatounabadi | Pharmacist | 29-31 Main St, Montpelier, VT 05602 | 2017-01-17 |
| 1972052660 | Frangis Aliakbarkhani | Pharmacist | 29-31 Main St., Montpelier, VT 05602 | 2016-09-23 |
| 1144676610 | Shippee Family Eye Care PC | Optometrist | 15 East State St, Montpelier, VT 05602 | 2016-05-13 |
| 1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
| 1790193985 | Jennifer Sanborn | Counselor | 246 Granger Rd., Suite 2, Berlin, VT 05602 | 2014-07-31 |
| Find all providers in zip 05602 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509482 | Molly Anne Powell | Nurse Practitioner | 222 Stockton Blvd, Berlin, NJ 08009-7111 | 2020-08-17 |
| 1518592039 | Carolyn Sosing Macuha | Nurse Practitioner | 314 Franklin Ave Ste 403, Berlin, MD 21811-1263 | 2020-03-04 |
| 1902436579 | Kevin Larochelle | Nurse Practitioner | 21 Grandview Dr, Berlin, NH 03570-1536 | 2020-01-22 |
| 1568012961 | Kirsten Didrikson | Nurse Practitioner | 130 Fisher Rd Ste 2, Berlin, VT 05602-9516 | 2019-09-17 |
| 1194283184 | Sandra Cetoute Gassant | Nurse Practitioner | 9954 N Main St Unit 3, Berlin, MD 21811-1299 | 2019-03-08 |
| 1083048383 | Christina Marie Tourangeau | Nurse Practitioner | 1311 Barre-montpelier Road, Suite 200, Berlin, VT 05602 | 2013-08-22 |
| 1992045363 | Gena Denice Swift | Nurse Practitioner | 314 Franklin Ave Ste 304, Berlin, MD 21811-1238 | 2013-02-22 |
| 1013010198 | Damd, Inc | Nurse Practitioner | 331 Buttercup Ct, Berlin, MD 21811 | 2006-09-06 |
| 1598741019 | Elisa Brettler Vandervort | Nurse Practitioner | 246 Granger Rd Ste 2, Berlin, VT 05602 | 2005-12-16 |
| 1871595876 | Susan Lessard | Nurse Practitioner | 59 Page Hill Rd, Berlin, NH 03570-3531 | 2005-08-10 |
| Find all providers in BERLIN | ||||
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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.