Nancy Chickering, MD
Individual provider Active NPI Emergency Medicine Physician · Berlin, VT
NPI 1366467854 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366467854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 042-0008951 (VT)
- Practice address
- 130 Fisher Rd
Berlin, VT 05602-9516 - Phone
- (802) 371-4100
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0008951 | VT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Emergency Medicine | Current | Accepting new patients |
Locations
130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235
130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 042-0008951 | VT | Yes |
Addresses
Primary practice location
130 Fisher Rd
Berlin, VT 05602-9516
Mailing address
130 Fisher Rd
PO Box 547
Berlin, VT 05602-9516
Phone (802) 371-4100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OVN0902 | Medicaid | VT |
Other providers in Berlin, VT
- Central Vermont Medical Center Inc
- Central Vermont Medical Center Inc
- Central Vermont Medical Center Inc
- Central Vermont Medical Center Inc
- Irene Chamberlain
- Justin Cherng Chuang
- Andrew Grant Clammer
- Janna M. Clar
- Karlin Clark
- Nicole Clark
All providers in Berlin, VT · Emergency Medicine Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.