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DR. MARY E KEGELMAN DNP FNP-BC NPI 1326109620


NPI Information

NPI: 1326109620
Provider Name: DR. MARY E KEGELMAN, DNP, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
CHAMPLAIN MILL, 20 WINOOSKI FALLS WAY
SUITE 400
WINOOSKI, VT
ZIP 05404
Phone: (302) 530-8906
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DR. Mary E Kegelman, DNP, FNP-BC is a family nurse practitioner in Winooski, VT. DR. Mary E Kegelman, DNP, FNP-BC NPI is 1326109620. 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:

CHAMPLAIN MILL, 20 WINOOSKI FALLS WAY
SUITE 400
WINOOSKI, VT
ZIP 05404
Phone: (302) 530-8906
Fax: (302) 351-7388

The enumeration date for this NPI number is 12/12/2006 and was last updated on 12/6/2019.


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
1363LF0000XNurse PractitionerFamily0024166503VIRGINIANo
2363LF0000XNurse PractitionerFamilyLG-0001079DELAWAREYes

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
1010165512MEDICAIDVIRGINIA
27003738MEDICAIDNORTH CAROLINA
395835OTHERVIRGINIAOPTIMA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.