Individual provider Active NPI

Esther Caballero-Manrique

  • Pain Medicine (Anesthesiology) Physician
  • Williston, VT
National Provider Identifier
1699017442
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
042.0013948 Issued in VT
Practice address
277 Blair Park Rd Ste 110
Williston, VT 05495-7885
Phone
(541) 726-1324
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Rochester School of Medicine and Dentistry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Vermont PLC 10 clinicians
Champlain Valley Physicians Hospital Medical Center 356 clinicians

Practice addresses (Care Compare)

593 Hercules Dr
Colchester, VT 05446-5993
Phone (802) 373-5266

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

Hospital & facility affiliations

  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180306002200 VT Practitioner - Pain ManagementPractitioner - Anesthesiology 7214238955 Reassigns benefits to 2 organizations
I20190926001903 NY Practitioner - Anesthesiology 7214238955 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
298177NYMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Vermont PLC Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
Champlain Valley Physicians Hospital Medical Center Anesthesiology CurrentSince Aug 4, 2019 Accepting new patients

Locations

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

206 Cornelia St
Ste 202
Plattsburgh, NY 12901
Phone (518) 314-3511

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

593 Hercules Dr
Colchester, VT 05446
Phone (802) 373-5266

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 042.0013948 VT
Pain Medicine (Anesthesiology) Physician 207LP2900X 298177 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X 042.0013948 VT Primary

Addresses

NPPES NPI Registry

Primary practice location

277 Blair Park Rd Ste 110
Williston, VT 05495-7885

Mailing address

277 Blair Park Rd Ste 110
Williston, VT 05495-7885
Phone (541) 726-1324

Other practice location 1

130 Fisher Rd
Berlin, VT 05602-9516
Phone (802) 371-4329

Other practice location 2

111 Colchester Ave
Pain Medicine Fellowship Coordinator, Fletcher Allen HC
Burlington, VT 05401
Phone (802) 847-2700

Other practice location 3

206 Cornelia St Ste 202
Plattsburgh, NY 12901-2779
Phone (518) 562-7590

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2021.

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1699017442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 BLAIR PARK RD STE 110",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957885",
            "telephone_number": "541-726-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 BLAIR PARK RD STE 110",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957885",
            "telephone_number": "541-726-1324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Fisher Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "VT",
            "postal_code": "056029516",
            "country_code": "US",
            "telephone_number": "802-371-4329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Colchester Ave",
            "address_2": "Pain Medicine Fellowship Coordinator, Fletcher Allen HC",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "05401",
            "country_code": "US",
            "telephone_number": "802-847-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Cornelia St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129012779",
            "country_code": "US",
            "telephone_number": "518-562-7590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALLERO-MANRIQUE",
        "first_name": "ESTHER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VT",
            "license": "042.0013948",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "298177",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VT",
            "license": "042.0013948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

Verify at the official NPI Registry.