LYNNE L COLVILLE (NPI# 1174741912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174741912 |
| Entity Type | Individual |
| Full Name | LYNNE L COLVILLE |
| Credential | APRN |
| Practice Address |
275 Route 30 N Bomoseen VT 05732-9647 |
| Practice Telephone | 8024685641 |
| Practice Fax Number | 8024682923 |
| Mailing Telephone | 8024685641 |
| Mailing Fax Number | 8024682923 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2012-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
101-0011925 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0NS2006 | 05 |
| Street Address |
275 ROUTE 30 N |
| City | BOMOSEEN |
| State | VT |
| Zip Code | 05732-9647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748489 | Pauline Kahng | Physician Assistant | 275 Route 30 N, Bomoseen, VT 05732-9647 | 2005-05-23 |
| 1396115648 | Jayme Hughes | Nurse Practitioner | 275 Route 30 N, Bomoseen, VT 05732-9647 | 2015-09-30 |
| 1891196804 | Theresa Haywood | Nurse Practitioner | 275 Route 30 N, Bomoseen, VT 05732-9647 | 2014-09-09 |
| 1588070502 | Laura Morin | Registered Nurse | 275 Route 30 N, Bomoseen, VT 05732-9647 | 2014-07-10 |
| 1689949968 | Rutland Region Collaborative Aco, LLC | Social Worker | 275 Route 30 N, Bomoseen, VT 05732-9647 | 2012-03-20 |
| 1063782340 | Lara K Peck | Dietitian, Registered | 275 Route 30 N, Bomoseen, VT 05732-9647 | 2012-01-04 |
| 1538455266 | Michele Marie Redmond | Registered Nurse | 275 Route 30 N, Bomoseen, VT 05732-9647 | 2011-06-21 |
| 1265769210 | Jessica C Lindert | Registered Nurse | 275 Route 30 N, Bomoseen, VT 05732-9647 | 2009-11-12 |
| 1598908683 | Sarah Stork Tatko | Speech-Language Pathologist | 275 Route 30 N, Bomoseen, VT 05732-9647 | 2009-04-20 |
| 1730321514 | Megan I. Greenleaf | Internal Medicine | 275 Route 30 N, Bomoseen, VT 05732-9647 | 2009-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457627390 | Jillian Iris Finker | General Practice | 55 North Route 30, Bomoseen, VT 05732 | 2012-03-26 |
| 1750599122 | Andrea R Hubbard Maclauchlan | Pharmacist | 34 Route 30n, Bomoseen, VT 05732 | 2007-05-18 |
| 1619049020 | The Coon House | Custodial Care Facility | 74 Route 30 S, Bomoseen, VT 05732 | 2006-11-14 |
| 1811071574 | Edward William Brown | Chiropractor | Route 30, Castleton Corners Professional Center, Bomoseen, VT 05732 | 2006-10-25 |
| 1942817937 | Hannah Mary Ojala | Pharmacist | 34 Route 30 North, Bomoseen, VT 05732 | 2020-09-24 |
| 1215174834 | Kph Healthcare Services, Inc. | Pharmacy | 34 Route 30 North, Bomoseen, VT 05732 | 2009-01-20 |
| 1255440327 | Harbor Pharmacy | Pharmacy | 34 Route 30 North, Bomoseen, VT 05732-0284 | 2006-08-30 |
| 1194920488 | Lakewood Adult Family Home Inc | Custodial Care Facility | 69 Rainbows End, Bomoseen, VT 05732-4417 | 2007-06-18 |
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205492196 | John-paul Cloutier | Nurse Practitioner | 1 Anna Marsh Ln, Brattleboro, VT 05302 | 2019-05-15 |
| 1235403452 | Ernest D. Lapierre, M.s., L.l.c | Nurse Practitioner | 17b Jersey Ct Unit 2, Morrisville, VT 05661-8381 | 2012-03-06 |
| 1144548116 | Brandi Amber Rand | Nurse Practitioner | 73 Center St Ste 2, Rutland, VT 05701-4046 | 2010-05-14 |
| 1629307111 | Kathryn R George | Nurse Practitioner | 56 W Twin Oaks Ter Ste 5, South Burlington, VT 05403-7138 | 2009-12-14 |
| 1316170343 | Alexis Brooke Ressler | Nurse Practitioner | 729 Colchester Parkway, Medical Office Building, Suite 205, Colchester, VT 05446 | 2009-08-25 |
| 1649443508 | Sarah Davis | Nurse Practitioner | 185 Tilley Dr Ste 52, South Burlington, VT 05403-4484 | 2008-04-10 |
| 1043409675 | Hella Douglas | Nurse Practitioner | 55 Main St Ste 2, Essex Junction, VT 05452-6100 | 2007-10-19 |
| 1629297437 | Annamarie Schrader | Nurse Practitioner | 359 Fisher Rd, Orwell, VT 05760-9769 | 2007-04-24 |
| 1003035536 | June B. Aschenbach | Nurse Practitioner | 196 Sunset Ln E, Hinesburg, VT 05461-9050 | 2007-04-24 |
| 1184747339 | Bradford Psychiatric Associates. LLC | Nurse Practitioner | 21 Upper Pln, Bradford, VT 05033-9016 | 2007-04-10 |
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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.