Active NPI
Elizabeth Brigante, LICENSED COSMATIC
- Contractor
- Manchester, VT
National Provider Identifier
1669019949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 102.0133720
- Practice address
- 4351 Route 7a
Manchester, VT 05254 - Phone
- (802) 922-8969
- NPI assigned
- Dec 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 102.0133720 | VT | Primary |
Addresses
Primary practice location
4351 Route 7a
Manchester, VT 05254
Mailing address
P.O. Box 734
Dorset, VT 05251
Phone (802) 922-8969
Other names 1
- Elizabeth Drenniall
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102.0133720 | VT | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1669019949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 734",
"city": "DORSET",
"state": "VT",
"postal_code": "05251",
"telephone_number": "802-922-8969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4351 ROUTE 7A",
"city": "MANCHESTER",
"state": "VT",
"postal_code": "05254",
"telephone_number": "802-922-8969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGANTE",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LICENSED COSMATIC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-05",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "VT",
"license": "102.0133720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "DRENNIALL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Manchester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.