KIM NICOLE DACEK (NPI# 1801208418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801208418 |
| Entity Type | Individual |
| Full Name | KIM NICOLE DACEK |
| Other Name | KIM NICOLE TANTLINGER |
| Practice Address |
875 Roosevelt Hwy Ste 132 Colchester VT 05446-4460 |
| Practice Telephone | 8028647483 |
| Practice Fax Number | 8026604337 |
| Mailing Telephone | 8028647483 |
| Mailing Fax Number | 8026604337 |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2016-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN2284328 | MA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
101.0107576 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
875 ROOSEVELT HWY STE 132 |
| City | COLCHESTER |
| State | VT |
| Zip Code | 05446-4460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588649743 | David Neal Schwartz | Internal Medicine | 875 Roosevelt Hwy Ste 132, Vermont Gastroenterology, Colchester, VT 05446-4460 | 2005-12-09 |
| 1003876368 | Alan Landau | Internal Medicine | 875 Roosevelt Hwy Ste 132, Colchester, VT 05446 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130157 | Justin Michael Boufford | Pharmacist | 218 Lower Mountian View Dr., Colchester, VT 05446 | 2020-09-24 |
| 1174154991 | The Vermont Center for Responder Wellness | Social Worker | 162 Hegeman Avenue, Suite 100, Colchester, VT 05446 | 2020-01-30 |
| 1972011047 | Erin Lee Murphy | Speech-Language Pathologist | 131 Laker Lane, Colchester, VT 05446 | 2018-01-11 |
| 1821535204 | Zoe Walsh | Specialist/Technologist | 131 Laker Ln, Colchester, VT 05446 | 2017-01-24 |
| 1407262827 | Charlotte M Church | Dentist | 416 Roosevelt Hwy Ste 201, Colchester, VT 05446 | 2014-07-07 |
| 1215251681 | Courtney Joy Brink | Speech-Language Pathologist | 1100 Prim Rd, Colchester, VT 05446 | 2010-03-15 |
| 1316170343 | Alexis Brooke Ressler | Nurse Practitioner | 729 Colchester Parkway, Medical Office Building, Suite 205, Colchester, VT 05446 | 2009-08-25 |
| 1659539393 | Deborah Kalamasz | Speech-Language Pathologist | 11102 Ethan Allen Ave, Colchester, VT 05446 | 2008-05-29 |
| 1235356700 | Angelo Marinakis | Chiropractor | 85 Prim Road, Suite 401, Colchester, VT 05446 | 2007-04-19 |
| 1629292719 | Susan Mary Coleman | Occupational Therapist | 800 Middle Road, Colchester, VT 05446 | 2007-04-12 |
| Find all providers in zip 05446 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553730 | Maura Powers | Nurse Practitioner | 33 Farm Gate Rd, Colchester, CT 06415-2622 | 2020-06-20 |
| 1528533700 | Jessica Lynn Cromie | Nurse Practitioner | 71 Horizon Vw, Colchester, VT 05446-6928 | 2018-10-03 |
| 1760495782 | Barbara Pokorny | Nurse Practitioner | 119 Broadway St, Colchester, CT 06415-1022 | 2006-08-14 |
| 1336163971 | Tara Jenet Abele | Nurse Practitioner | 270 Stone Dr, Colchester, VT 05446-5742 | 2006-07-27 |
| 1487636288 | Louise Moon Rosales | Nurse Practitioner | 1 Winooski Park, Colchester, VT 05439-0001 | 2005-11-17 |
| 1437687282 | Amy Scheel | Nurse Practitioner | 119 S Main St, Colchester, CT 06415-1456 | 2017-05-24 |
| 1295114585 | Christopher Ingvoldstad | Nurse Practitioner | 883 Blakely Rd, Uvm Medical Center, Family Medicine - Colchester, Colchester, VT 05446-4417 | 2015-05-20 |
| 1427451004 | Jesse Marie Kavumpurath | Nurse Practitioner | 119 S Main St, Colchester, CT 06415-1456 | 2014-09-26 |
| 1265855068 | Kathi Jean Karp | Nurse Practitioner | 163 Broadway St, Colchester, CT 06415-1022 | 2014-01-29 |
| 1265786917 | Mallory Simpson Breitmaier | Nurse Practitioner | 119 S Main St, Minuteclinic, Colchester, CT 06415-1456 | 2012-11-02 |
| Find all providers in COLCHESTER | ||||
| City | COLCHESTER |
| Zip Code | 05446 |
Please comment or provide details below to improve the information on KIM NICOLE DACEK.
| 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.