MS. ERIKA-KRISTINA BRADSTREET PINELES-MARK WHNP / CNM NPI 1558684845

NPI Information

NPI: 1558684845
Provider Name: MS. ERIKA-KRISTINA BRADSTREET PINELES-MARK, WHNP / CNM
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
130 FISHER RD STE 1-1
BERLIN, VT
ZIP 05602
Phone: (802) 371-4100
Get Directions

MS. Erika-kristina Bradstreet Pineles-mark, WHNP / CNM is a women's health nurse practitioner in Berlin, VT with 19 years of experience. MS. Erika-kristina Bradstreet Pineles-mark, WHNP / CNM NPI is 1558684845. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

130 FISHER RD STE 1-1
BERLIN, VT
ZIP 05602-132
Phone: (802) 371-4100

The NPI 1558684845 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 3/1/2010 and was last updated on 11/19/2021.

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	363LW0102X	Nurse Practitioner	Women's Health	1013296	DISTRICT OF COLUMBIA	No
2	367A00000X	Advanced Practice Midwife		1013296	DISTRICT OF COLUMBIA	No
3	367A00000X	Advanced Practice Midwife		101.0135051	VERMONT	No
4	363LW0102X	Nurse Practitioner	Women's Health	101.0135051	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: 5/5/2024

NPI Synchronization or Removal

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