| Community Health Centers Of Burlington Inc | |
|
617 Riverside Ave Burlington VT 05401-1601 | |
| (802) 264-8159 | |
| (802) 860-4325 |
| Full Name | Community Health Centers Of Burlington Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 617 Riverside Ave, Burlington, Vermont |
| Authorized Official Name and Position | Kate Reed (INTERIM CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8022648190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Centers Of Burlington Inc 617 Riverside Ave Burlington VT 05401-1601 Ph: (802) 264-8159 | Community Health Centers Of Burlington Inc 617 Riverside Ave Burlington VT 05401-1601 Ph: (802) 264-8159 |
| NPI Number | 1689678963 |
|---|---|
| Provider Enumeration Date | 06/02/2005 |
| Last Update Date | 02/24/2020 |
| Medicare PECOS PAC ID | 2062491251 |
|---|---|
| Medicare Enrollment ID | O20040720000792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689678963 | NPI | - | NPPES |
| VT4600 | Other | VT | VERMONT MANAGED CARE |
| 8000704 | Other | VT | LADIES FIRST |
| 4600 | Medicaid | VT | |
| VT4600 | Other | VT | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24908 (Vermont) | Primary |
| Provider Name | Stephen C Baad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629027271 PECOS PAC ID: 8224017405 Enrollment ID: I20040720000713 |
| Provider Name | Wayne Leslie Warnken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326024878 PECOS PAC ID: 9537123773 Enrollment ID: I20041117000158 |
| Provider Name | Naya Pyskacek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497710560 PECOS PAC ID: 3779549076 Enrollment ID: I20041208000743 |
| Provider Name | John R Brooklyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588640635 PECOS PAC ID: 5193775419 Enrollment ID: I20050125000529 |
| Provider Name | Rachel H Inker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558347096 PECOS PAC ID: 4789634007 Enrollment ID: I20050125000559 |
| Provider Name | Douglas C Bugbee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942308028 PECOS PAC ID: 8628021128 Enrollment ID: I20050224000504 |
| Provider Name | Clodagh A Coghlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417908286 PECOS PAC ID: 7618912148 Enrollment ID: I20050624000101 |
| Provider Name | Jennifer S Laurent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598735128 PECOS PAC ID: 8123063658 Enrollment ID: I20050624000131 |
| Provider Name | Richard B White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467448621 PECOS PAC ID: 5991730632 Enrollment ID: I20050930000213 |
| Provider Name | Betsy A Fowler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669438131 PECOS PAC ID: 1850311184 Enrollment ID: I20051201000740 |
| Provider Name | Ann Goering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790810489 PECOS PAC ID: 5496732091 Enrollment ID: I20060329000466 |
| Provider Name | Adam W Kunin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306813159 PECOS PAC ID: 6800805003 Enrollment ID: I20060417000699 |
| Provider Name | Christine D Northrup |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821161183 PECOS PAC ID: 0244249464 Enrollment ID: I20060418000049 |
| Provider Name | Beach Conger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023006921 PECOS PAC ID: 6305810789 Enrollment ID: I20060727000236 |
| Provider Name | Tara M Chasnoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730237074 PECOS PAC ID: 7911001029 Enrollment ID: I20070329000518 |
| Provider Name | Vivian R Esparza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982658654 PECOS PAC ID: 3870699846 Enrollment ID: I20070508000485 |
| Provider Name | Anne M Knott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164596730 PECOS PAC ID: 0446342067 Enrollment ID: I20070827000572 |
| Provider Name | Karen E Sokol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467666180 PECOS PAC ID: 4486741113 Enrollment ID: I20071029000105 |
| Provider Name | Mark A Pitcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285682666 PECOS PAC ID: 7911986278 Enrollment ID: I20080325000398 |
| Provider Name | Peter Gunther |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851341671 PECOS PAC ID: 2466431721 Enrollment ID: I20080325000418 |
| Provider Name | Harris Kiva Strokoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497866701 PECOS PAC ID: 0840354619 Enrollment ID: I20090123000306 |
| Provider Name | Annika Hawkins-hilke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538398474 PECOS PAC ID: 6507911716 Enrollment ID: I20090910000633 |
| Provider Name | Jena S Katzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215254289 PECOS PAC ID: 1052503398 Enrollment ID: I20101005001172 |
| Provider Name | Leighton F Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427350206 PECOS PAC ID: 2062691108 Enrollment ID: I20110121000636 |
| Provider Name | Diana J Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790075869 PECOS PAC ID: 9234317108 Enrollment ID: I20110623000240 |
| Provider Name | Heather Stein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073786778 PECOS PAC ID: 7315116068 Enrollment ID: I20110815000152 |
| Provider Name | Jennifer Evansfirst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679855977 PECOS PAC ID: 4688848963 Enrollment ID: I20111123000143 |
| Provider Name | Jun Fu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538461066 PECOS PAC ID: 1850568890 Enrollment ID: I20120117000019 |
| Provider Name | Gopichand Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1376638536 PECOS PAC ID: 4688827843 Enrollment ID: I20130122000149 |
| Provider Name | Anna Leavey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437405958 PECOS PAC ID: 6204074347 Enrollment ID: I20130530000519 |
| Provider Name | Paulette J Thabault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366756686 PECOS PAC ID: 8325289853 Enrollment ID: I20130726000046 |
| Provider Name | Megan O Brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033421110 PECOS PAC ID: 5092909465 Enrollment ID: I20130813000581 |
| Provider Name | Christianna Pilsucki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831371996 PECOS PAC ID: 8527200666 Enrollment ID: I20130820000335 |
| Provider Name | Amy Mcgettrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427372234 PECOS PAC ID: 7517192065 Enrollment ID: I20131108001421 |
| Provider Name | Sarah R Morse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164857694 PECOS PAC ID: 1759517311 Enrollment ID: I20131204000861 |
| Provider Name | Stephanie Parent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811000375 PECOS PAC ID: 9133352487 Enrollment ID: I20140512002070 |
| Provider Name | Courtney A Walker-borch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457767410 PECOS PAC ID: 2163649682 Enrollment ID: I20140807000122 |
| Provider Name | Jessica S Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376943431 PECOS PAC ID: 0143543033 Enrollment ID: I20141230000197 |
| Provider Name | Kara Fauth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669622064 PECOS PAC ID: 4688991201 Enrollment ID: I20150319001637 |
| Provider Name | Leo Isaac Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487049672 PECOS PAC ID: 9739400151 Enrollment ID: I20150610000785 |
| Provider Name | Adam Russell Greenlee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013238229 PECOS PAC ID: 2961718689 Enrollment ID: I20150826000895 |
| Provider Name | Lincoln Heath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811253800 PECOS PAC ID: 2264748904 Enrollment ID: I20150826001583 |
| Provider Name | Elisabeth B. Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972985745 PECOS PAC ID: 4183934615 Enrollment ID: I20151112000664 |
| Provider Name | Theresa L Hetzler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619978293 PECOS PAC ID: 6305989930 Enrollment ID: I20151214000877 |
| Provider Name | Tamara Orear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497114607 PECOS PAC ID: 9234436288 Enrollment ID: I20160318001282 |
| Provider Name | Michelle Dianne Dorwart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598007486 PECOS PAC ID: 0941500367 Enrollment ID: I20160830000287 |
| Provider Name | Philippa Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598047193 PECOS PAC ID: 2365722196 Enrollment ID: I20161213000557 |
| Provider Name | Kristen Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346796463 PECOS PAC ID: 2860773074 Enrollment ID: I20161230001053 |
| Provider Name | Zachary Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912446097 PECOS PAC ID: 6709161375 Enrollment ID: I20170322000362 |
| Provider Name | Irene Koplinka-loehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407275126 PECOS PAC ID: 2769754803 Enrollment ID: I20170823004323 |
| Provider Name | Blake C Mcknight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497275804 PECOS PAC ID: 1355614256 Enrollment ID: I20170828004040 |
| Provider Name | Lindsay C Arzberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023542693 PECOS PAC ID: 7911270210 Enrollment ID: I20170908000725 |
| Provider Name | Samuel Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093225831 PECOS PAC ID: 1254607385 Enrollment ID: I20171018000040 |
| Provider Name | Margaret Spottswood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144529611 PECOS PAC ID: 3971806043 Enrollment ID: I20180111002574 |
| Provider Name | Jessica A Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518328749 PECOS PAC ID: 9335408624 Enrollment ID: I20180112000062 |
| Provider Name | Karla Martinez-dulmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912267964 PECOS PAC ID: 5496056616 Enrollment ID: I20180206000633 |
| Provider Name | Casey Lynn Smith-speirs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316330434 PECOS PAC ID: 7517287162 Enrollment ID: I20180307000591 |
| Provider Name | Matthew Perret |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003329335 PECOS PAC ID: 2365703212 Enrollment ID: I20180309001857 |
| Provider Name | Grace Zimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487148094 PECOS PAC ID: 8729330519 Enrollment ID: I20181005000083 |
| Provider Name | Mary Anne Kohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639521412 PECOS PAC ID: 4082901186 Enrollment ID: I20181106002409 |
| Provider Name | Megan E Mogerley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639649205 PECOS PAC ID: 2769728088 Enrollment ID: I20190108001375 |
| Provider Name | Meaghan Mcfadden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558828111 PECOS PAC ID: 1254671266 Enrollment ID: I20190328001323 |
| Provider Name | Rochelle A Paquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730567629 PECOS PAC ID: 3870868961 Enrollment ID: I20190510001266 |
| Provider Name | Jacob Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023497344 PECOS PAC ID: 7911213921 Enrollment ID: I20190712000350 |
| Provider Name | Krysten Farrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457983611 PECOS PAC ID: 5597193763 Enrollment ID: I20200323000396 |
| Provider Name | Christopher T Vogt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336404722 PECOS PAC ID: 3375762024 Enrollment ID: I20200520002524 |
| Provider Name | Samuel Lurie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295279628 PECOS PAC ID: 4688085384 Enrollment ID: I20201202000789 |
| Provider Name | Lauren Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013317908 PECOS PAC ID: 3072928258 Enrollment ID: I20210222000708 |
| Provider Name | Emily-anne Sanders Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588295315 PECOS PAC ID: 2668889627 Enrollment ID: I20210318002713 |
| Provider Name | Stephanie Szkaradnik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992336234 PECOS PAC ID: 6305253105 Enrollment ID: I20210323001431 |
| Provider Name | Margaret Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477057834 PECOS PAC ID: 6901160589 Enrollment ID: I20210806002872 |
| Provider Name | Adrienne R Jarvis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629573282 PECOS PAC ID: 5698039220 Enrollment ID: I20210823002063 |
| Provider Name | Lisa Louise Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831767672 PECOS PAC ID: 3072919257 Enrollment ID: I20210914001710 |
| Provider Name | Michael F Ialeggio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770070724 PECOS PAC ID: 5799183273 Enrollment ID: I20211014000122 |
| Provider Name | Colin Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447783790 PECOS PAC ID: 6002205374 Enrollment ID: I20211109000663 |
| Provider Name | Tyler Patrick O'bryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750867768 PECOS PAC ID: 2163812728 Enrollment ID: I20211214001963 |
| Provider Name | Julia M Zdanowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841960382 PECOS PAC ID: 0042606212 Enrollment ID: I20220415001126 |
| Provider Name | Meagan Rohde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164955753 PECOS PAC ID: 3375924178 Enrollment ID: I20220725001759 |
| Provider Name | Emma Leonard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619616919 PECOS PAC ID: 9739560541 Enrollment ID: I20220725002120 |
| Provider Name | Elizabeth D Nowalk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407418478 PECOS PAC ID: 7719215045 Enrollment ID: I20220817003425 |
| Provider Name | Sara Clafferty Headley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265858245 PECOS PAC ID: 4082097134 Enrollment ID: I20220823000438 |
| Provider Name | Varney Glassman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477179661 PECOS PAC ID: 5597140392 Enrollment ID: I20220914003688 |
| Provider Name | Kayla Mae Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033840970 PECOS PAC ID: 5294110748 Enrollment ID: I20220920000072 |
| Provider Name | Alyssa Basiliere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326767112 PECOS PAC ID: 0042696882 Enrollment ID: I20221003001771 |
| Provider Name | Shannon Lucy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376262519 PECOS PAC ID: 7719353663 Enrollment ID: I20221018000072 |
| Provider Name | Sarah Arvidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528682937 PECOS PAC ID: 1254744766 Enrollment ID: I20221103003098 |
| Provider Name | Catherine Benoit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962120568 PECOS PAC ID: 5092185645 Enrollment ID: I20221223000939 |
| Provider Name | Kevin John Sheasgreen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508450677 PECOS PAC ID: 2567871916 Enrollment ID: I20230608000966 |
| Provider Name | Caitlyn Patricia Tengwall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508410119 PECOS PAC ID: 0345608675 Enrollment ID: I20230628003924 |
| Provider Name | Maria Delia Crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013513217 PECOS PAC ID: 6507271004 Enrollment ID: I20230823000387 |
| Provider Name | Natalie Leah Antosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437778685 PECOS PAC ID: 8527489061 Enrollment ID: I20230907000273 |
| Provider Name | Katherine Elizabeth Logan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750905006 PECOS PAC ID: 5991123705 Enrollment ID: I20231010000066 |
| Provider Name | Jacqueline Cahill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225634108 PECOS PAC ID: 7517314073 Enrollment ID: I20231106002639 |
| Provider Name | Jamie L Charlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417630294 PECOS PAC ID: 0941659320 Enrollment ID: I20231211001783 |
| Provider Name | Sarah Booz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841072436 PECOS PAC ID: 6608211982 Enrollment ID: I20240226003779 |
| Provider Name | Michayla Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760259121 PECOS PAC ID: 6608212329 Enrollment ID: I20240315001678 |
| Provider Name | Danielle Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386408854 PECOS PAC ID: 7214375070 Enrollment ID: I20240329001959 |
University Of Vermont Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Pearl St, Burlington, VT 05401 Phone: 802-656-3350 Fax: 802-656-8178 | |
Chcb Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 Fax: 802-860-4325 | |
Affiliates In Obstetrical & Gynecological Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 96 Colchester Ave, Burlington, VT 05401 Phone: 802-658-0505 | |
Ameriwound Physicians Inc Vt Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98 Starr Farm Rd, Burlington, VT 05408 Phone: 802-658-6717 | |
Sandra Nigolian Msw Psychotherapy Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 431 Pine St # G13, Burlington, VT 05401 Phone: 802-338-5122 | |
Helios Natural Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 Kilburn St, Burlington, VT 05401 Phone: 802-540-0066 | |
State Of Vermont Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Cherry St, Burlington, VT 05401 Phone: 802-863-7338 Fax: 802-863-7635 |