KATIE M BURKHOLDER (NPI# 1205350212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205350212 |
| Entity Type | Individual |
| Full Name | KATIE M BURKHOLDER |
| Credential | LADC |
| Practice Address |
100 Hospitality Drive Berlin VT 05641 |
| Mailing Address |
Po Box G Randolph VT 05060-0167 |
| Practice Telephone | 8022234156 |
| Mailing Telephone | 8027284466 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
100 HOSPITALITY DRIVE |
| City | BERLIN |
| State | VT |
| Zip Code | 05641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942502349 | Christopher David Rossey | Counselor | 100 Hospitality Drive, Berlin, VT 05641 | 2010-11-17 |
| 1497206585 | Glenn Bomberger | Counselor | 100 Hospitality Drive, Berlin, VT 05641 | 2016-10-24 |
| 1811362619 | Nancy Kenyon Richardson | Counselor | 100 Hospitality Drive, Berlin, VT 05641 | 2015-12-04 |
| 1255767497 | Shannon Brennan | Counselor | 100 Hospitality Drive, Berlin, VT 05602 | 2013-09-19 |
| 1932532959 | Jennifer E Pelletier | Counselor | 100 Hospitality Drive, Berlin, VT 05602 | 2013-08-13 |
| 1063781649 | Debra K Wucik | Counselor | 100 Hospitality Drive, Berlin, VT 05602 | 2011-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285292268 | Robert A Davis | Dentist | 248 S Main St, Barre, Vt 05641, Barre, VT 05641 | 2019-06-04 |
| 1275939175 | Carey Anne Kimball | Massage Therapist | 15 Cottage Street, Suite 5, Professional Massage and Skin Care, Barre, VT 05641 | 2014-11-05 |
| 1801299326 | Joshua Krushenick | Hearing Instrument Specialist | 56 E View Lane, Barre, VT 05641 | 2014-09-29 |
| 1376845941 | Sarah Catherine Gregoire Beebe | Physical Therapist | 219 N Main St Ste 103, Barre, VT 05641 | 2010-12-02 |
| 1013236827 | Katie L John | Nurse Practitioner | 225 South Main Street, Barre Internal Medicine, Barre, VT 05641 | 2010-05-19 |
| 1659602548 | Jennifer S Albert | Occupational Therapy Assistant | 98 Hospitality Dr, Barre, VT 05641 | 2010-01-18 |
| 1144403577 | American Current Care, P.a. | Clinic/Center | 654 Granger Road, Suite 1, Barre, VT 05641 | 2007-12-07 |
| 1144340761 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 654 Granger Rd., Suite 1, Barre, VT 05641 | 2007-03-29 |
| 1043338148 | David W. Butsch | Surgery | 3270 Airport Road Berlin, Barre, VT 05641 | 2007-03-27 |
| 1467520668 | Glen Alvin Mcclintock | Social Worker | 172 N. Main St, 2nd Floor, Barre, VT 05641 | 2006-12-04 |
| Find all providers in zip 05641 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407303472 | Phoebe Brady | Counselor | 116 Grove St., Berlin, NJ 08009 | 2016-09-07 |
| 1790193985 | Jennifer Sanborn | Counselor | 246 Granger Rd., Suite 2, Berlin, VT 05602 | 2014-07-31 |
| 1942502349 | Christopher David Rossey | Counselor | 100 Hospitality Drive, Berlin, VT 05641 | 2010-11-17 |
| 1265670327 | Charles R Keinath | Counselor | 80247 91759 Airport Rd, Berlin, VT 05602 | 2009-01-28 |
| 1114074325 | Angela R Betances | Counselor | 368 S White Horse Pike, Berlin, NJ 08009-1954 | 2007-01-03 |
| 1336616622 | Alycia Post | Counselor | 286 Hospital Loop, Berlin, VT 05602-9523 | 2018-10-25 |
| 1497206585 | Glenn Bomberger | Counselor | 100 Hospitality Drive, Berlin, VT 05641 | 2016-10-24 |
| 1811362619 | Nancy Kenyon Richardson | Counselor | 100 Hospitality Drive, Berlin, VT 05641 | 2015-12-04 |
| 1255767497 | Shannon Brennan | Counselor | 100 Hospitality Drive, Berlin, VT 05602 | 2013-09-19 |
| 1932532959 | Jennifer E Pelletier | Counselor | 100 Hospitality Drive, Berlin, VT 05602 | 2013-08-13 |
| Find all providers in BERLIN | ||||
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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.