NORTHWESTERN MEDICAL CENTER INC. NPI 1699809533

NPI Information

NPI: 1699809533
Provider Name: NORTHWESTERN MEDICAL CENTER, INC.

Doing Business As: NORTHWESTERN LIFESTYLE MEDICINE

Classification: Nutritionist - 133NN1002X
Entity Type: Organization

Specialization: Nutrition, Education

Address:
260 CREST RD
SUITE 202
SAINT ALBANS, VT
ZIP 05478
Phone: (802) 524-1227
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NORTHWESTERN MEDICAL CENTER, INC. is a nutrition and education nutritionist in Saint Albans, VT. NORTHWESTERN MEDICAL CENTER, INC. NPI is 1699809533. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northwestern Lifestyle Medicine.

The provider's business location address is:

260 CREST RD
SUITE 202
SAINT ALBANS, VT
ZIP 05478-503
Phone: (802) 524-1227
Fax: (802) 524-8498

The provider's authorized official is Mary Pigeon .
The authorized official title is Credentialing Specialist and has the following contact phone number (802) 524-8954.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 10/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	133V00000X	Dietitian, Registered		No
2	136A00000X	Dietetic Technician, Registered		No
3	133NN1002X	Nutritionist	Nutrition, Education	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0024685	OTHER	VERMONT	GROUP PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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