Active NPI
Tawnya Kiernan, M.D.
- Pediatric Adolescent Medicine Physician
- Middlebury, VT
National Provider Identifier
1235195520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 042-0010489
- Practice address
- 44 Collins Dr
Suite 202
Middlebury, VT 05753-8528 - Phone
- (802) 388-1338
- Fax
- (802) 388-8244
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 042-0010489 | VT | Primary |
Addresses
Primary practice location
44 Collins Dr
Suite 202
Middlebury, VT 05753-8528
Mailing address
44 Collins Dr
Suite 202
Middlebury, VT 05753-8528
Phone (802) 388-1338
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010876 | Medicaid | VT | |
| 4128431 | Other | MVP | |
| 68293 | Other | BCVT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0010489 | VT | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow Pediatrics | Adolescent Medicine | Past | Accepting new patients |
Interoperability endpoints
- tawnyakiernan@rp.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Middlebury, VT
- NPI 1649216268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235195520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 COLLINS DR",
"address_2": "SUITE 202",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057538528",
"telephone_number": "802-388-1338",
"fax_number": "802-388-8244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 COLLINS DR",
"address_2": "SUITE 202",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057538528",
"telephone_number": "802-388-1338",
"fax_number": "802-388-8244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIERNAN",
"first_name": "TAWNYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "VT",
"license": "042-0010489",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010876",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "4128431",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCVT",
"identifier": "68293",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middlebury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.