Mary Gill, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1010018668 Issued in VT

Practice address

110 Porter Drive
Middlebury, VT 05753

Phone

(802) 388-7959

Fax

(802) 388-8136

NPI assigned

Dec 27, 2005

Last updated

Sep 16, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Corcoran Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1033196639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PORTER DR",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538527",
            "telephone_number": "802-388-8808",
            "fax_number": "802-388-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PORTER DRIVE",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "05753",
            "telephone_number": "802-388-7959",
            "fax_number": "802-388-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "MARY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VT",
            "license": "1010018668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011539",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CORCORAN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Ganley
• Jane Garbose, M.A., L.A.D.C.
• Halie Gates
• Emily Gaukler, M.D.
• Rebecca Gemignani, BCBA
• Katie Gillespie
• Kristen J Ginsburg, COUNSELOR
• Wendy Goodwin, L.AC.
• Daniel Robert Gosselin, PT
• Robert Rene Gosselin

• Pediatric Nurse Practitioner in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Pediatric Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.