Mollie D Chamberlain, FNPC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

101-0008367 Issued in VT

Practice address

Dartmouth Hitchcock Clinic
195 Industrial Pkwy
Lyndon, VT 05849

Phone

(802) 748-9501

NPI assigned

Jul 5, 2006

Last updated

Jul 8, 2007By 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

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235160912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 OLD COUNTY RD",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "058518417",
            "telephone_number": "802-626-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DARTMOUTH HITCHCOCK CLINIC",
            "address_2": "195 INDUSTRIAL PKWY",
            "city": "LYNDON",
            "state": "VT",
            "postal_code": "05849",
            "telephone_number": "802-748-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "MOLLIE",
        "middle_name": "D",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101-0008367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002901",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas F Broderick, D.O.
• Brigitte France Dargis, MD
• Joyce M Dobbertin, M.D.,D.C.
• Susan P Erisman, M.D.
• Ashley K Gerrish, NP
• Susan L Gresser, M.D.

• Nurse Practitioner in Lyndon, VT
• Providers in Lyndon, VT by specialty
• Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.