DR. MARY E KEGELMAN (NPI# 1326109620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326109620 |
| Entity Type | Individual |
| Full Name | DR. MARY E KEGELMAN |
| Credential | DNP, FNP-BC |
| Practice Address |
Champlain Mill, 20 Winooski Falls Way Suite 400 Winooski VT 05404 |
| Mailing Address |
193 Christina Landing Dr Wilmington DE 19801-5253 |
| Practice Telephone | 3025308906 |
| Practice Fax Number | 3023517388 |
| Mailing Telephone | 7575932562 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-0001079 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024166503 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010165512 | 05 | |
| NC | 7003738 | 05 | |
| VA | OPTIMA | 95835 | 01 |
| Street Address |
CHAMPLAIN MILL, 20 WINOOSKI FALLS WAY SUITE 400 |
| City | WINOOSKI |
| State | VT |
| Zip Code | 05404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578079166 | Andrea Reynolds | Counselor | 108 Dion St, Winooski, VT 05404 | 2017-12-19 |
| 1861555922 | Eva Simon | Counselor | 20 West Canal St, Woolen Mill Offices, Winooski, VT 05404 | 2006-12-19 |
| 1164596730 | Anne Minor Knott | Family Medicine | 32b Malletts Bay Avenue, Winooski Family Health, Winooski, VT 05404 | 2006-11-17 |
| 1376596478 | Christine M. Staats | Family Medicine | 32 East Malletts Bay Ave., Winooski, VT 05404 | 2006-05-18 |
| 1700181856 | Ashley Rebecca Bercovici | Massage Therapist | 467 Main St, Winooski, VT 05404 | 2011-01-21 |
| 1861705766 | Kandi Poulin | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2010-07-20 |
| 1063583441 | Timberlane Physical Therapy Inc | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| 1437220811 | Lesli R Bell | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| 1114098449 | Candice S Brueck | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| 1124086582 | John Ward | Social Worker | 79 Weaver Street, Vermont Childrens Aid Society, Winooski, VT 05404-0127 | 2006-05-03 |
| Find all providers in zip 05404 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750675799 | Barbara Swan | Nurse Practitioner | 20 Winooski Falls Way, Suite 400, Winooski, VT 05404-2228 | 2011-06-07 |
| 1609211705 | Dianne M Villani | Nurse Practitioner | 20 W Canal St, Suite #c1, Winooski, VT 05404-2131 | 2013-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144147 | Emily Turner | Nurse Practitioner | 1099 Main St, Fairfax, VT 05454-9529 | 2020-11-06 |
| 1588263933 | Sacred Transitions Midwifery | Nurse Practitioner | 18 The Sq Ste 24, Bellows Falls, VT 05101-1300 | 2020-10-17 |
| 1679170922 | Katrina Marie Prive | Nurse Practitioner | 799 Salem View Heights, Newport, VT 05855 | 2020-10-08 |
| 1619580081 | Guerda Mulumba | Nurse Practitioner | 4 Pearl St, Essex Junction, VT 05452-4095 | 2020-08-26 |
| 1679190680 | Meghan Davis Foster | Nurse Practitioner | 60 Orr Rd, Jericho, VT 05465-2022 | 2020-06-26 |
| 1447877311 | Page Tomlinson | Nurse Practitioner | 272 No Main St Suite 101, Cambridge, VT 05444-0102 | 2020-06-26 |
| 1609409432 | Azaliah Hannah Tillinghast | Nurse Practitioner | 2418 Airport Rd, Barre, VT 05641-8702 | 2020-02-20 |
| 1194366161 | Ashly Marie Medeiros | Nurse Practitioner | 655 Main St Ste 1, Bennington, VT 05201-2845 | 2019-10-01 |
| 1568012961 | Kirsten Didrikson | Nurse Practitioner | 130 Fisher Rd Ste 2, Berlin, VT 05602-9516 | 2019-09-17 |
| 1164078796 | Jessica White | Nurse Practitioner | 52 Community Ln, South Hero, VT 05486-4418 | 2019-08-09 |
| 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.