NORTHWESTERN MEDICAL CENTER, INC. (NPI# 1699809533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699809533 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN MEDICAL CENTER, INC. |
| Other Organization Name | NORTHWESTERN LIFESTYLE MEDICINE |
| Practice Address |
260 Crest Rd Suite 202 Saint Albans VT 05478-9503 |
| Mailing Address |
133 Fairfield St Saint Albans VT 05478-1726 |
| Practice Telephone | 8025241227 |
| Practice Fax Number | 8025248498 |
| Mailing Telephone | 8025241227 |
| Mailing Fax Number | 8025248498 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2018-10-23 |
| Authorized Official Name | MRS. MARY PIGEON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8025248954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 136A00000X | Dietetic Technician, Registered | Dietary & Nutritional Service Providers | ||
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | GROUP PTAN | 0024685 | 01 |
| Other Name | Type Code |
|---|---|
| Northwestern Lifestyle Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140889 | Northwestern Medical Center, Inc. | Pediatrics | 133 Fairfield St Ste 103a, Saint Albans, VT 05478-1726 | 2020-10-07 |
| 1437634359 | Northwestern Medical Center, Inc. | Pediatrics | 71 S Main St, Saint Albans, VT 05478-2274 | 2018-09-26 |
| 1760748693 | Northwestern Medical Center, Inc. | Ophthalmology | 128 Fisher Pond Rd, 2nd Floor, Suite 3, Saint Albans, VT 05478-6058 | 2012-04-04 |
| 1003118563 | Northwestern Medical Center, Inc. | Surgery | 1 Crest Rd, Suite B, Saint Albans, VT 05478-9753 | 2010-12-03 |
| 1417274663 | Northwestern Medical Center, Inc. | Family Medicine | 133 Fairfield St Ste 103, Saint Albans, VT 05478-1726 | 2010-04-28 |
| 1669677043 | Northwestern Medical Center, Inc. | Orthopaedic Surgery | 133 Fairfield St Ste 101, Saint Albans, VT 05478-1726 | 2007-06-18 |
| 1578650099 | Northwestern Medical Center, Inc. | Clinic/Center | 133 Fairfield St Ste 102, Saint Albans, VT 05478-1726 | 2006-10-06 |
| 1114530409 | Northwestern Medical Center, Inc. | Family Medicine | 12 Crest Rd, Saint Albans, VT 05478-9701 | 2020-08-26 |
| 1922658921 | Northwestern Medical Center, Inc. | Internal Medicine | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2019-09-12 |
| 1255809836 | Northwestern Medical Center, Inc. | Dietitian, Registered | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2018-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | NORTHWESTERN MEDICAL CENTER, INC. | 133 Fairfield St, St. Albans, VT 05478 |
| Street Address |
260 CREST RD SUITE 202 |
| City | SAINT ALBANS |
| State | VT |
| Zip Code | 05478-9503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336104934 | Kylee J Ladd | Physician Assistant | 260 Crest Rd, Suite 101, Saint Albans, VT 05478-9503 | 2006-04-18 |
| 1780219063 | Alissa Peterson | Family Medicine | 260 Crest Rd, Saint Albans, VT 05478-9503 | 2020-03-07 |
| 1023542693 | Lindsay Claire Arzberger | Nurse Practitioner | 260 Crest Rd, Suite 103, Saint Albans, VT 05478-9503 | 2017-04-20 |
| 1821536871 | Lucas James Carter | Physician Assistant | 260 Crest Rd, Suite 103, Saint Albans, VT 05478-9503 | 2017-02-09 |
| 1134665888 | Barbara Mentzer | Registered Nurse | 260 Crest Rd, Suite 202, Saint Albans, VT 05478-9503 | 2017-01-18 |
| 1497119978 | Jack E Visco | Nurse Practitioner | 260 Crest Rd, Suite 101, Saint Albans, VT 05478-9503 | 2016-04-11 |
| 1811357668 | Northwestern Medical Center, Inc. | Dietitian, Registered | 260 Crest Rd, Suite 202, Saint Albans, VT 05478-9503 | 2016-03-07 |
| 1427445766 | Kelli Ann Borgman | Dietitian, Registered | 260 Crest Rd, Suite 202, Saint Albans, VT 05478-9503 | 2015-04-24 |
| 1356682678 | Stacey Bouchard | Nurse Practitioner | 260 Crest Rd, Saint Albans, VT 05478-9503 | 2013-03-12 |
| 1437404860 | Amy E Pandya | Nurse Practitioner | 260 Crest Rd, Suite 103, Saint Albans, VT 05478-9503 | 2012-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306324710 | Stephanie Paulick-maloney | Audiologist | Northwestern Ear Nose and Throat, 10 Crest Road, St Albans, VT 05478 | 2018-07-30 |
| 1033632476 | Caroline D Homan | Speech-Language Pathologist | 596 Seymour Road, St. Albans City, VT 05478 | 2017-07-18 |
| 1891234514 | Baart Behavioral Health Services Inc | Clinic/Center | 242 S Main St, Saint Albans, VT 05478 | 2017-02-14 |
| 1336492073 | Vermont Medical Sleep Disorders Center, Inc. | Durable Medical Equipment & Medical Supplies | 6 Home Health Circle, Suite2, Saint Albans, VT 05478 | 2012-10-18 |
| 1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
| 1942523576 | Heather Elizabeth Deslauriers | Pharmacist | 164 Swaton Rd, St.albans, VT 05478 | 2010-03-10 |
| 1154529451 | Elizabeth Maria Felcyn Dupont | Occupational Therapist | 596 Sheldon Road, St Albans, VT 05478 | 2007-07-07 |
| 1467674580 | James Robert Nelson | Counselor | 92 Fairfield Street, St. Albans, VT 05478 | 2007-05-02 |
| 1942429519 | Odette Susan Taylor | Physical Therapist | 3 Home Health Circle, St Albans, VT 05478 | 2007-04-24 |
| 1558588418 | Elizabeth Nelson Dmd PC | Dentist | 10 Mapleville Depot, St. Albans, VT 05478 | 2007-04-19 |
| Find all providers in zip 05478 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295203404 | Jean Marie Copeland | Nutritionist | 1422 Vt Route 66, Randolph, VT 05060-7718 | 2018-11-06 |
| 1003271883 | Ann Marie Dixon | Nutritionist | 265 Green Rd, East Montpelier, VT 05651-4246 | 2015-12-22 |
| 1700209038 | Mary Shea Rosen | Nutritionist | 449 Guilford St, Brattleboro, VT 05301-6401 | 2014-01-22 |
| 1013157221 | Lucien Manson | Nutritionist | 288 Flynn Ave Apt 7, Burlington, VT 05401-5369 | 2009-02-27 |
| 1831210574 | Sylvia Marie Gaboriault | Nutritionist | 141 Main St Ste 1, Montpelier, VT 05602 | 2007-04-02 |
| 1457491052 | Elizabeth R Jones | Nutritionist | 1759 Back Windham Rd, West Townshend, VT 05359 | 2007-02-06 |
| 1306967054 | Ilene B Siegel | Nutritionist | 130 Fisher Rd, Berlin, VT 05602-9516 | 2007-04-02 |
| City | SAINT ALBANS |
| Zip Code | 05478 |
Please comment or provide details below to improve the information on NORTHWESTERN MEDICAL CENTER, INC..
| 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.