CARRIE ELIZABETH PINE (NPI# 1649775859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649775859 |
| Entity Type | Individual |
| Full Name | CARRIE ELIZABETH PINE |
| Practice Address |
1493 West St Brookfield VT 05036-9584 |
| Practice Telephone | 5185225340 |
| Mailing Telephone | 5185225340 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
VT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1493 WEST ST |
| City | BROOKFIELD |
| State | VT |
| Zip Code | 05036-9584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932255833 | Henry Barron | Psychologist | 2224 Twin Pond Rd, Brookfield, VT 05036-9540 | 2007-01-25 |
| 1477947000 | Mahala Pinsonneault | Registered Nurse | 2838 Vt Route 65, Brookfield, VT 05036-9577 | 2015-03-20 |
| 1730181686 | Marda E Donner | Internal Medicine | 1148 Kibbee Rd, Brookfield, VT 05036-9620 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919290 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 106 Federal Rd, Brookfield, CT 06804-2536 | 2020-10-10 |
| 1346848645 | Theresa Marie Mcgorty | Social Worker | 10 Apache Dr, Brookfield, CT 06804-3100 | 2020-10-09 |
| 1851998553 | Melissa Litwin | Nurse Practitioner | 9127 Burlington Ave, Brookfield, IL 60513-1939 | 2020-10-06 |
| 1720695158 | Christine Baumann | Occupational Therapist | 9421 Burlington Ave Apt 1n, Brookfield, IL 60513-1868 | 2020-09-29 |
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1952917858 | Adam Archer | Specialist/Technologist | 20 Long Meadow Hill Rd, Brookfield, CT 06804-3013 | 2020-09-17 |
| 1275148207 | Rom Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 559b Federal Rd Unit 1-3, Brookfield, CT 06804-2800 | 2020-09-15 |
| 1750996195 | Vesta Memory Care, LLC | Alzheimer Center (Dementia Center) | 3965 Bradee Rd, Brookfield, WI 53005-2166 | 2020-09-12 |
| 1881206555 | Suzanne Gleichauf | Nurse Practitioner | 7 Fleetwood Ln, Brookfield, CT 06804-3204 | 2020-08-23 |
| 1902417207 | Ipack Pharmacy LLC | Pharmacy | 17000 W North Ave Ste 108w, Brookfield, WI 53005-4423 | 2020-08-11 |
| Find all providers in BROOKFIELD | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057418 | Madison G Leahy | Student in an Organized Health Care Education/Training Program | 20225 Sutter Creek Dr Apt 119, Brookfield, WI 53045-3931 | 2020-06-13 |
| 1639702186 | Tracy Biney-assan | Student in an Organized Health Care Education/Training Program | 19255 Lothmoor Drive Upper, Brookfield, WI 53045-4121 | 2020-02-12 |
| 1376104968 | John P Wartman | Student in an Organized Health Care Education/Training Program | 2425 Whippletree Ln, Brookfield, WI 53045-4225 | 2019-06-24 |
| 1528556222 | Kendra Lennon | Student in an Organized Health Care Education/Training Program | 10 Nancy Ln, Brookfield, CT 06804-3976 | 2018-04-27 |
| 1710482625 | Akshar Jaglan | Student in an Organized Health Care Education/Training Program | 19040 Edmonton Dr, Brookfield, WI 53045-3841 | 2018-03-24 |
| 1336643469 | Sameh Ahmed Syed | Student in an Organized Health Care Education/Training Program | 680 Hawks Ridge Rd, Brookfield, WI 53045-6325 | 2018-03-22 |
| 1841617990 | Nicholas Ladwig | Student in an Organized Health Care Education/Training Program | 18350 Bristol Ln, Brookfield, WI 53045-7408 | 2014-03-26 |
| 1003250358 | Naomi Rose Preedin | Student in an Organized Health Care Education/Training Program | 3825 Morton Ave, Brookfield, IL 60513-1526 | 2013-04-17 |
| 1316216138 | Maile Lange | Student in an Organized Health Care Education/Training Program | 30 Quaboag St, Brookfield, MA 01506-1831 | 2011-12-22 |
| 1003965971 | Marta Lopez Vicente | Student in an Organized Health Care Education/Training Program | 4160 N 160th St, Brookfield, WI 53005-1400 | 2007-01-09 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 05036 |
Please comment or provide details below to improve the information on CARRIE ELIZABETH PINE.
| 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.