DR. MARIANNE EVERETT RIDEOUT MD NPI 1578580312

NPI Information

  • NPI: 1578580312
  • Provider Name: DR. MARIANNE EVERETT RIDEOUT, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 COLCHESTER AVE
    FLETCHER ALLEN HEALTH CARE- MCHV CAMPUS, 265 SMITH 5
    BURLINGTON, VT
    ZIP 05401
  • Phone: (802) 847-5321

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NPI Details

DR. Marianne Everett Rideout, MD is a pediatrics in Burlington, VT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Marianne Everett Rideout, MD NPI is 1578580312. 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:

111 COLCHESTER AVE
FLETCHER ALLEN HEALTH CARE- MCHV CAMPUS, 265 SMITH 5
BURLINGTON, VT
ZIP 05401-473
Phone: (802) 847-5321
Fax: (802) 847-8064

The NPI 1578580312 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 7/17/2006 and was last updated on 11/4/2025.

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
1208000000XPediatrics289607NEW YORKNo
2208M00000XHospitalist289607NEW YORKNo
3208000000XPediatrics0420009484VERMONTYes
4208M00000XHospitalist042.0009484VERMONTNo

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
1OVN1587MEDICAIDVERMONT

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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