PETER BORDELON (NPI# 1427306232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427306232 |
| Entity Type | Individual |
| Full Name | PETER BORDELON |
| Credential | PMHNP |
| Practice Address |
617 Riverside Ave Burlington VT 05401-1601 |
| Practice Telephone | 8028646309 |
| Practice Fax Number | 8028604313 |
| Mailing Telephone | 8028646309 |
| Mailing Fax Number | 8028604313 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2015-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R189202 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
617 RIVERSIDE AVE |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678963 | Community Health Centers of Burlington Inc | Family Medicine | 617 Riverside Ave, Burlington, VT 05401-1601 | 2005-06-02 |
| 1225652571 | Rachel Ivancie | Registered Nurse | 617 Riverside Ave, Burlington, VT 05401-1601 | 2020-06-02 |
| 1588295315 | Emily-anne Sanders Garcia | Social Worker | 617 Riverside Ave, Burlington, VT 05401-1601 | 2020-01-30 |
| 1992336234 | Stephanie Szkaradnik | Social Worker | 617 Riverside Ave, Burlington, VT 05401-1601 | 2020-01-27 |
| 1699312025 | Sabrina Leal | Social Worker | 617 Riverside Ave, Burlington, VT 05401-1601 | 2019-12-04 |
| 1558828111 | Meaghan Moran Mcfadden | Social Worker | 617 Riverside Ave, Burlington, VT 05401 | 2019-03-01 |
| 1912446097 | Zachary Schwartz | Nurse Practitioner | 617 Riverside Ave, Burlington, VT 05401-1601 | 2017-02-22 |
| 1295279628 | Samuel Lurie | Social Worker | 617 Riverside Ave, Burlington, VT 05401-1601 | 2016-12-03 |
| 1346796463 | Kristen Vinci Gray | Nurse Practitioner | 617 Riverside Ave, Burlington, VT 05401-1601 | 2016-08-29 |
| 1518328749 | Jessica A Griffin | Registered Nurse | 617 Riverside Ave, Burlington, VT 05401-1601 | 2016-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| 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 |
|---|---|---|---|---|
| 1356988828 | Jennifer Brennan, Aprn, Pllc | Nurse Practitioner | 86 Lake St, Burlington, VT 05401-5297 | 2019-12-04 |
| 1093253569 | Brittney Christina Locke | Nurse Practitioner | 41 Mall Road, Lahey Hospital and Medical Center, Burlington, MA 01805-0001 | 2017-02-05 |
| 1891147336 | Brian Kelley | Nurse Practitioner | 300 Flynn Ave, Burlington, VT 05401-5301 | 2016-07-08 |
| 1255799680 | Julia Martyn | Nurse Practitioner | 41 Mall Rd, Psychiatry and Behavioral Health, Burlington, MA 01805-0001 | 2016-01-30 |
| 1164857694 | Sarah R Morse | Nurse Practitioner | 617 Riverside Ave, Burlington, VT 05401-1601 | 2013-09-03 |
| 1619214574 | Caroline Tassey Plc | Nurse Practitioner | 1205 North Ave, Burlington, VT 05408-2804 | 2013-01-12 |
| 1306195805 | Kathleen M Keating | Nurse Practitioner | 149 Cherry St, Burlington, VT 05401-3817 | 2012-08-30 |
| 1396052783 | Jessica Porter | Nurse Practitioner | 168 Battery St, Burlington, VT 05401-5285 | 2010-09-07 |
| 1356526446 | Laura L Wainer | Nurse Practitioner | 1 S Prospect St, Burlington, VT 05401-3456 | 2008-01-08 |
| 1851447031 | Robin Yandell | Nurse Practitioner | 1138 Pine St, Burlington, VT 05401-5353 | 2007-01-28 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on PETER BORDELON.
| 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.