Lisa Ann Atwater
Individual provider Active NPI Community Health Worker · Brattleboro, VT
NPI 1144092941 · NPPES record last updated Oct 25, 2023
Key facts
- NPI
- 1144092941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 209 Austine Dr
Brattleboro, VT 05301-7223 - Phone
- (802) 490-9619
- Fax
- (802) 258-2413
- NPI assigned
- Oct 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | VT | Yes |
Addresses
Primary practice location
209 Austine Dr
Brattleboro, VT 05301-7223
Mailing address
209 Austine Dr
Brattleboro, VT 05301-7223
Phone (802) 490-9619
Other providers in Brattleboro, VT
- Arch Clinic of Acupuncture & Herbal Medicine, PLLC
- Mary Armbruster
- Craig Arnold
- Meghan Marie Arthur
- Heather Michelle Ashcraft
- Kaitlyn Margaret Atwood
- Jennifer Audette
- Aida Avdic
- Awr Associates, LLC
- John Baker
All providers in Brattleboro, VT · Community Health Worker in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.