KIM NICOLE DACEK NPI 1801208418

NPI Information

NPI: 1801208418
Provider Name: KIM NICOLE DACEK
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
875 ROOSEVELT HWY STE 132
COLCHESTER, VT
ZIP 05446
Phone: (802) 864-7483
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Kim Nicole Dacek is a family nurse practitioner in Colchester, VT. Kim Nicole Dacek NPI is 1801208418. 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:

875 ROOSEVELT HWY STE 132
COLCHESTER, VT
ZIP 05446-460
Phone: (802) 864-7483
Fax: (802) 660-4337

The NPI 1801208418 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 5/30/2014 and was last updated on 12/12/2016.

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	163W00000X	Registered Nurse		RN2284328	MASSACHUSETTS	No
2	363LF0000X	Nurse Practitioner	Family	101.0107576	VERMONT	Yes

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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