Danielle Speer (NPI# 1003949926, PAC ID# 5294826269) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003949926 |
| PAC ID by PECOS | 5294826269 |
| Professional Enrollment ID | I20170418001223 |
| Full Name | Danielle Speer |
| Organization Legal Name | NORTHEAST KINGDOM HEALTHCARE COLLABORATIVE, LLC |
| Address |
468 Hospital Dr St Johnsbury VT 05819-9225 |
| Phone Number | 8027487901 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5698949097 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 471304 | NORTH COUNTRY HOSPITAL AND HEALTH CENTER |
| 471303 | NORTHEASTERN VERMONT REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 186 Medical Village Dr, Newport, VT 05855-8537 | 8023343522 | NORTH COUNTRY HOSPITAL AND HEALTH CENTER INC |
| 468 Hospital Dr, St Johnsbury, VT 05819-9225 | 8027487901 | NORTHEAST KINGDOM HEALTHCARE COLLABORATIVE, LLC |
| Organization Legal Name | NORTHEAST KINGDOM HEALTHCARE COLLABORATIVE, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthur D Alsobrook Jr. | Internal Medicine | Northeast Kingdom Healthcare Collaborative, LLC | 55 Sherman Dr, St Johnsbury, VT 05819-9280 |
| Weili D Gray | Anesthesiology | Northeast Kingdom Healthcare Collaborative, LLC | 468 Hospital Dr, St Johnsbury, VT 05819-9225 |
| Veronika Jedlovszky | Internal Medicine | Northeast Kingdom Healthcare Collaborative, LLC | 468 Hospital Dr, St Johnsbury, VT 05819-9225 |
| Street Address |
468 HOSPITAL DR |
| City | ST JOHNSBURY |
| State | VT |
| Zip | 05819-9225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Weili D Gray | Anesthesiology | Northeast Kingdom Healthcare Collaborative, LLC | 468 Hospital Dr, St Johnsbury, VT 05819-9225 |
| Jaymal Dilipkumar Darjee | Optometry | Shippee Family Eye Care PC | 468 Hospital Dr, Saint Johnsbury, VT 05819-9225 |
| Veronika Jedlovszky | Internal Medicine | Northeast Kingdom Healthcare Collaborative, LLC | 468 Hospital Dr, St Johnsbury, VT 05819-9225 |
| Karena Shippee | Optometry | Shippee Family Eye Care PC | 468 Hospital Dr, Saint Johnsbury, VT 05819-9225 |
| Suzanne G Corbitt | Optometry | Shippee Family Eye Care PC | 468 Hospital Dr, Saint Johnsbury, VT 05819-9225 |
| Richard Louis Leven | Optometry | Shippee Family Eye Care PC | 468 Hospital Dr, Saint Johnsbury, VT 05819-9225 |
| Michael F Taub | Optometry | Shippee Family Eye Care PC | 468 Hospital Dr, Saint Johnsbury, VT 05819-9225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jin Li Chan | Clinical Social Worker | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Thomas F Broderick | Family Medicine | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Adelaide Adjovu | Nurse Practitioner | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Joyce Vitale | Nurse Practitioner | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Eric Siegel | Obstetrics/gynecology | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, St Johnsbury, VT 05819-0905 |
| Claudia E Lee | Internal Medicine | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Jessica L Macleod | Nurse Practitioner | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Irene B Krechetoff | Internal Medicine | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Doreen J. Brado | Nurse Practitioner | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Kara Pitt | Obstetrics/gynecology | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Find all physicians in zip 05819 | |||
| City | ST JOHNSBURY |
| Zip Code | 05819 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ST JOHNSBURY + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.