ILENE B SIEGEL RD NPI 1306967054

NPI Information

NPI: 1306967054
Provider Name: ILENE B SIEGEL, RD
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

Address:
130 FISHER RD
BERLIN, VT
ZIP 05602
Phone: (802) 371-4152
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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
1	133NN1002X	Nutritionist	Nutrition, Education	074-0000033	VERMONT	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	28599	OTHER	VERMONT	BCBS PROVIDER NUMBER
2	MT0327	MEDICARE ID-TYPE UNSPECIFIED	VERMONT	MEDICARE PROVIDER NUMBER
3	1022299	MEDICAID	VERMONT

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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