ILENE B SIEGEL RD NPI 1306967054

NPI Information

  • NPI: 1306967054
  • Provider Name: ILENE B SIEGEL, RD
  • Classification: Nutritionist - 133NN1002X
  • Specialization: Nutrition, Education
  • Entity Type: Individual
  • Address: 130 FISHER RD
    BERLIN, VT
    ZIP 05602
  • Phone: (802) 371-4152

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NPI Details

Ilene B Siegel, RD is a nutrition and education nutritionist in Berlin, VT. Ilene B Siegel, RD NPI is 1306967054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 FISHER RD
BERLIN, VT
ZIP 05602-516
Phone: (802) 371-4152
Fax: (802) 371-4572

The enumeration date for this NPI number is 4/2/2007 and was last updated on 10/24/2013.

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 License Number License State Primary
1133NN1002XNutritionistNutrition, Education074-0000033VERMONTYes

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
128599OTHERVERMONTBCBS PROVIDER NUMBER
2MT0327MEDICARE ID-TYPE UNSPECIFIEDVERMONTMEDICARE PROVIDER NUMBER
31022299MEDICAIDVERMONT

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: 11/21/2025

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