Active NPI
Barbara B Klick, RD, MPH
- Registered Dietitian
- Jericho, VT
National Provider Identifier
1740455104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 074.0134217
- Practice address
- 40 Tyler PL
Jericho, VT 05465-3015 - Phone
- (617) 543-8581
- NPI assigned
- Apr 28, 2008
- Last updated
- Jan 28, 2022
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 074.0134217 | VT | Primary |
Addresses
Primary practice location
40 Tyler PL
Jericho, VT 05465-3015
Mailing address
40 Tyler PL
Jericho, VT 05465-3015
Phone (617) 543-8581
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074.0134217 | VT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Past | Accepting new patients | |
| Convenientmd LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Bangor, ME
- NPI 1881401552
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1740455104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 TYLER PL",
"city": "JERICHO",
"state": "VT",
"postal_code": "054653015",
"telephone_number": "617-543-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 TYLER PL",
"city": "JERICHO",
"state": "VT",
"postal_code": "054653015",
"telephone_number": "617-543-8581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLICK",
"first_name": "BARBARA",
"middle_name": "B",
"credential": "RD, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-28",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VT",
"license": "074.0134217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jericho, VT
- Melissa Heitkamp
- HTW LLC
- Jericho Chiropractic LLC (Kintner Chiropractic Center)
- Kintner Chiropractic Center, PC
- Mary Helen Kintner, D.C., R.N.
- Patricia Therese Kohn
- Sarah McCracken, LICSW, CIMHP
- Elise Minadeo, MSPT
- Mount Mansfield Counseling Services LLC
- Mount Mansfield Unified Union School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.