Martina Kerkering

Individual provider Active NPI Community Health Worker · Burlington, VT

NPI 1831969583 · NPPES record last updated Jan 4, 2024

Key facts

NPI
1831969583
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
License
097-0135348 (VT)
Practice address
1138 Pine St
Burlington, VT 05401-5353
Phone
(802) 488-6000
Fax
(802) 488-6919
NPI assigned
Jan 4, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
097-0135348VTMDCommunity Health Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 097-0135348 VT Yes

Addresses

Primary practice location

1138 Pine St
Burlington, VT 05401-5353

Mailing address

208 Flynn Ave Ste 3J
Burlington, VT 05401-5420
Phone (802) 488-6920

Other providers in Burlington, VT

All providers in Burlington, VT · Community Health Worker in Vermont

Sources for this page

Verify at the official NPI Registry.