STEACY LYNNE SUDDABY (NPI# 1316546294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316546294 |
| Entity Type | Individual |
| Full Name | STEACY LYNNE SUDDABY |
| Credential | NP-C |
| Practice Address |
272 N Main Street Suite 101 Cambridge VT 05444-0102 |
| Mailing Address |
Po Box 102 Cambridge VT 05444-0102 |
| Practice Telephone | 8026445144 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
101.0134579 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
272 N MAIN STREET SUITE 101 |
| City | CAMBRIDGE |
| State | VT |
| Zip Code | 05444-0102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497275804 | Blake Coulter Mcknight | Nurse Practitioner | 272 North Main Street, #101, Cambridge, VT 05444 | 2017-06-27 |
| 1528350295 | Shelly Houle Rodriguez | Counselor | 1205 Upper Pleasant Valley Rd, Jeffersonville, VT 05444 | 2011-05-12 |
| 1356645741 | Nordic Rehab @ Wellness | Specialist | 272 North Main St, Cambridge, VT 05444 | 2010-12-29 |
| 1407939721 | Family Practice Associates Inc | Clinic/Center | 272 No Main St, Suite 101, Cambridge, VT 05444 | 2006-10-23 |
| 1952418139 | Kph Healthcare Services, Inc. | Pharmacy | 155 S Main Street, Cambridge, VT 05444 | 2006-08-24 |
| 1073537858 | Anna Carey | Family Medicine | 252 North Main St., Cambridge, VT 05444 | 2006-07-26 |
| 1588695720 | Charles Steven Hayes | Physical Therapist | 272 N. Main St., Cambridge, VT 05444 | 2006-07-05 |
| 1447877311 | Page Tomlinson | Nurse Practitioner | 272 No Main St Suite 101, Cambridge, VT 05444-0102 | 2020-06-26 |
| 1144525619 | Susan Lucille Jaynes | Nurse Practitioner | 272 No Main St, Cambridge, VT 05444-0102 | 2011-01-14 |
| 1528442589 | Heather Blair | Dental Hygienist | 34 Kays Way, Cambridge, VT 05444-4455 | 2015-07-18 |
| Find all providers in zip 05444 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184181380 | Kathryn Viona Oas | Nurse Practitioner | 94 Hampshire St Unit A, Cambridge, MA 02139-1504 | 2019-02-23 |
| 1962577361 | Lisa M Antonelli | Nurse Practitioner | 266 Rindge Ave # B, Cambridge, MA 02140-3202 | 2006-11-21 |
| 1730735010 | Kate Elizabeth Mccabe | Nurse Practitioner | 5 Madison St, Cambridge, MA 02138-2313 | 2019-08-13 |
| 1700288388 | Krystal E Babalas | Nurse Practitioner | 725 Concord Ave, Cambridge, MA 02138-1040 | 2014-09-25 |
| 1699104828 | Maureen Johnston | Nurse Practitioner | 25 Carleton St, E23, Cambridge, MA 02142-1323 | 2013-11-07 |
| 1154496313 | Mary J Hubbard | Nurse Practitioner | 1493 Cambridge St, Primary Care Center, Cambridge, MA 02139-1047 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790293777 | Jamie Rogers | Nurse Practitioner | 677 Vt Rte 7a, Shaftsbury, VT 05262-0379 | 2018-01-12 |
| 1669614368 | Mary Claire Masson | Nurse Practitioner | One Winooski Park, St. Michael's College Student Health Services, Colchester, VT 05439 | 2009-03-27 |
| 1437132362 | Dorothy Malone-rising | Nurse Practitioner | 384 Lower Main W, Johnson, VT 05656-9632 | 2005-11-23 |
| 1104426238 | Meredith Welsh | Nurse Practitioner | 331 Olcott Dr Ste U3, White River Junction, VT 05001-9263 | 2020-10-28 |
| 1750999470 | Melanie Anne Black | Nurse Practitioner | 163 Veterans Dr, White River Junction, VT 05009-0001 | 2020-07-20 |
| 1215550116 | Karen Gibbs | Nurse Practitioner | 142 Woodridge Rd, Berlin, VT 05602-9165 | 2020-05-26 |
| 1992354112 | Minta Trivette | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2019-09-10 |
| 1952963274 | Anne Brereton | Nurse Practitioner | 1311 Barre-montpelier Road, Berlin, VT 05602 | 2019-07-08 |
| 1043712342 | Linda Ann Fasci | Nurse Practitioner | 118 Clark Rd, Williamstown, VT 05679-9449 | 2018-03-02 |
| 1124576475 | Whitney P Mical | Nurse Practitioner | 655 Main St, Suite 1, Bennington, VT 05201-2870 | 2016-09-15 |
| 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.