MANYA GORDON GILLIES NP NPI 1548016793

NPI Information

  • NPI: 1548016793
  • Provider Name: MANYA GORDON GILLIES, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 130 FISHER RD
    BERLIN, VT
    ZIP 05602
  • Phone: (802) 371-4100

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NPI Details

Manya Gordon Gillies, NP is a family nurse practitioner in Berlin, VT. Manya Gordon Gillies, NP NPI is 1548016793. 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) 371-4100

The NPI 1548016793 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/29/2024 and was last updated on 10/28/2024.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2363LF0000XNurse PractitionerFamily101.0137162VERMONTYes

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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