ROANNA LEIGH BAMFORD (NPI# 1568822989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568822989 |
| Entity Type | Individual |
| Full Name | ROANNA LEIGH BAMFORD |
| Credential | PMHNP-BC |
| Practice Address |
2225 Portland St St Johnsbury VT 05819 |
| Mailing Address |
578 Huntington Ave Fl 2 Boston MA 02115-5902 |
| Practice Telephone | 8027483181 |
| Mailing Telephone | 6178795220 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2020-01-02 |
| 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 |
RN230901 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Manchester Va Medical Center, 718 Smyth Road, Manchester, NH 03104 | 6036244366 | 6036293244 |
| Street Address |
2225 PORTLAND ST |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235120163 | William R. Cote | Counselor | 2225 Portland St, St Johnsbury, VT 05819-8635 | 2005-10-31 |
| 1134729684 | Eugene T Mccormick Jr. | Counselor | 2225 Portland St, St Johnsbury, VT 05819-8635 | 2020-10-26 |
| 1437635760 | Jane Bullock | Counselor | 2225 Portland St, St Johnsbury, VT 05819-8635 | 2018-07-19 |
| 1639696792 | Hillary E Liddick | Nurse Practitioner | 2225 Portland St, St Johnsbury, VT 05819-8635 | 2017-08-29 |
| 1629522990 | Alicia E Holden | Counselor | 2225 Portland St, St Johnsbury, VT 05819-8635 | 2016-08-04 |
| 1902251044 | Joyce Littlefield | Counselor | 2225 Portland St, St Johnsbury, VT 05819-8635 | 2016-04-26 |
| 1366886426 | Gina Marie Pitocchelli | Registered Nurse | 2225 Portland St, St Johnsbury, VT 05819-8635 | 2013-04-19 |
| 1265784227 | Gary H Mitchell | Counselor | 2225 Portland St, St Johnsbury, VT 05819-8635 | 2012-10-15 |
| 1205185055 | Judith Elisa Blakely | Nurse Practitioner | 2225 Portland St, St Johnsbury, VT 05819-8635 | 2012-09-06 |
| 1902128432 | Daniel E Miller | Counselor | 2225 Portland St, St Johnsbury, VT 05819-8635 | 2010-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| 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 |
|---|---|---|---|---|
| 1447241500 | Karen A. Bonhote | Nurse Practitioner | 185 Sherman Dr, St Johnsbury, VT 05819-9811 | 2005-10-28 |
| 1639696792 | Hillary E Liddick | Nurse Practitioner | 2225 Portland St, St Johnsbury, VT 05819-8635 | 2017-08-29 |
| 1205185055 | Judith Elisa Blakely | Nurse Practitioner | 2225 Portland St, St Johnsbury, VT 05819-8635 | 2012-09-06 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | ST JOHNSBURY |
| Zip Code | 05819 |
Please comment or provide details below to improve the information on ROANNA LEIGH BAMFORD.
| 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.