Holley Alicia Cetrangolo

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

056107-23 Issued in NH

Practice address

1 Medical Center Dr
Lebanon, NH 03756-1000

Phone

(603) 650-5000

NPI assigned

Sep 14, 2022

Last updated

Dec 8, 2022By 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 2

Addresses

Other names 1

• Holley McGuire Former name

Medicare fee-for-service enrollment

Enrolled in NH, VT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hcetrangolo434263@direct.dartmouth-hitchcock.org
• Direct secure messaging: hcetrangolo9391@direct.uvmhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dartmouth-Hitchcock Clinic

  • Internal Medicine Physician
  • Lebanon, NH
  • NPI 1548210198
  Medicare reassignment NPD
• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1023092053
  Medicare reassignment NPD
• University of Vermont Medical Center Inc

  dba Uvm Medical Center

  • Internal Medicine Physician
  • Burlington, VT
  • NPI 1659309615
  Medicare reassignment NPD
• Mary Hitchcock Memorial Hospital

  dba Hampstead Hospital

  • Psychiatric Hospital
  • Hampstead, NH
  • NPI 1699584219
  NPD

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1073235313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 VT RTE 12 N",
            "city": "NORTHFIELD",
            "state": "VT",
            "postal_code": "056634436",
            "telephone_number": "802-279-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Vt Rte 12 N",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "VT",
            "postal_code": "056634436",
            "country_code": "US",
            "telephone_number": "802-279-9155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 McGregor St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031023730",
            "country_code": "US",
            "telephone_number": "603-663-5310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CETRANGOLO",
        "first_name": "HOLLEY",
        "middle_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NH",
            "license": "056107-23",
            "primary": true
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "VT",
            "license": "026.0029792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLEY",
            "last_name": "MCGUIRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Celdara Medical LLC
• Maria Magdalena Ceron Y Ceron, MD
• Aida Cerundolo, M.D.
• Matthew Burns Cerveny, MD
• Mark Aaron Cervinski, PH.D.
• Anjali Chacko
• Rachael Chacko
• Sara Chaffee, M.D.
• Sushela S Chaidarun, M.D., PHD
• Kathleen M Chaimberg, MD

• Neonatal Nurse Practitioner in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Neonatal Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.