LAKES REGION HEALTHCARE (NPI# 1114195419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114195419 |
| Entity Type | Organization |
| Organization Name | LAKES REGION HEALTHCARE |
| Practice Address |
49 Castleton Meadows Ln Castleton VT 05735-9011 |
| Mailing Address |
Po Box 509 Bomoseen VT 05732-0509 |
| Practice Telephone | 8024688755 |
| Mailing Telephone | 8024688755 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |
| Authorized Official Name | MR. THOMAS EDWARD BEAUREGARD (PRESIDENT) |
| Authorized Official Telephone | 8024688755 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0550030883 | VT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 9000153 | 05 |
| Street Address |
49 CASTLETON MEADOWS LN |
| City | CASTLETON |
| State | VT |
| Zip Code | 05735-9011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588066161 | Brook Bailey-kenyon | Massage Therapist | 49 Castleton Meadows Ln, Castleton, VT 05735-9011 | 2014-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548775083 | Kate Elizabeth Steller | Student in an Organized Health Care Education/Training Program | 190 University Drive, Castleton, VT 05735 | 2017-12-06 |
| 1356771976 | Heather Elizabeth Fjeld Nelson | Speech-Language Pathologist | 263 Elementary School Road, Castleton, VT 05735 | 2013-11-18 |
| 1669764650 | Kelley Odorisio | Physical Therapist | 218 Route 4a W, Castleton, VT 05735 | 2011-05-09 |
| 1881901825 | Sunset House - Birdseye, Inc. | Substance Abuse Rehabilitation Facility | 511 Sand Hill Road, Castleton, VT 05735 | 2010-09-13 |
| 1003942038 | Cerise Marie Barber | Specialist/Technologist | Castleton State College, Glenbrook Gym, Castleton, VT 05735 | 2007-02-26 |
| 1457422941 | James Evans Wright | Dentist | 1939 Route 4a, Castleton, VT 05735 | 2006-11-13 |
| 1083620017 | Michael Patrick Finnegan | Physical Therapist | 218b Rt 4a West, Slate Valley Physical Therapy, Castleton, VT 05735 | 2006-07-31 |
| 1043286131 | Elly R. Ventura | Specialist/Technologist | 190 College Drive, Glenbrook Gym, Castleton, VT 05735 | 2006-02-27 |
| 1134465784 | 47 Main Street Corporation | Community Based Residential Treatment Facility, Mental Illness | 706 Main Street, Castleton, VT 05735-0038 | 2012-12-28 |
| 1013245307 | Slate Valley Physical Therapy, Inc. | Physical Therapist | 218 B Route 4a West, Castleton, VT 05735-0218 | 2009-11-24 |
| Find all providers in zip 05735 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780994111 | Columbia Internal Medicine | Clinic/Center | 2500 Pond Vw Ste 202, Castleton, NY 12033-9776 | 2010-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859089 | Garnet Transport Medicine, LLC | Clinic/Center | 1000 River St Bldg 900, Essex Junction, VT 05452-4201 | 2020-07-29 |
| 1407939721 | Family Practice Associates Inc | Clinic/Center | 272 No Main St, Suite 101, Cambridge, VT 05444 | 2006-10-23 |
| 1093761835 | Charlotte Family Health Center Inc | Clinic/Center | 527 Ferry Rd, Charlotte, VT 05445-9555 | 2006-05-25 |
| 1437618022 | Rutland Family Care, LLC | Clinic/Center | 25 N Main St, Rutland, VT 05701-6100 | 2019-03-14 |
| 1487124202 | Gordon Gieg Md Pllc | Clinic/Center | 5138 Shelburne Rd, Shelburne, VT 05482-6698 | 2018-12-05 |
| 1144755455 | Samuel R. Stoyak, M.d., Plc | Clinic/Center | 43 Timber Ln, South Burlington, VT 05403-5201 | 2017-04-24 |
| 1306116801 | Hope Medical Clinic Pllc | Clinic/Center | 92 Allen St, Rutland, VT 05701-4562 | 2011-12-31 |
| 1336397926 | Southwestern Vermont Medical Center Inc. | Clinic/Center | 339 Dewey St, Bennington, VT 05201-2253 | 2008-09-08 |
| 1861640161 | Little Rivers Health Care, Inc. | Clinic/Center | 65 Main Street, Wells River, VT 05081 | 2008-08-29 |
| 1972751279 | Little Rivers Health Care, Inc. | Clinic/Center | 720 Village Rd, East Corinth, VT 05039 | 2008-08-29 |
| Find all providers with the same taxonomy | ||||
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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.