Rosemary L Dale, NP
Individual provider Active NPI Internal Medicine Physician · Burlington, VT
NPI 1841220191 · NPPES record last updated Aug 14, 2013
Key facts
- NPI
- 1841220191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 1010011492 (VT)
- Practice address
- 111 Colchester Ave
Burlington, VT 05401 - Phone
- (802) 847-0000
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Vermont Nursing and Health Sciences Practice Group
Practice addresses (Care Compare)
1205 N Ave
Burlington, VT 05408-2804
Phone (802) 863-1313
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050622000544 | VT | Practitioner - Nurse Practitioner | 1355386210 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1010011492 | VT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Internal Medicine | Current |
Accepting new patients |
| University of Vermont Nursing and Health Sciences Practice Group | Current |
Accepting new patients |
Locations
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
Interoperability endpoints
- rdale15621@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1010011492 | VT | Yes |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0NP0869 | Medicaid | VT |
Other providers in Burlington, VT
- Danielle Robillard D'Amico
- Michael A D'Amico
- Ruth D'Angelo
- Liana Dagdavaryan
- Manavi Romit Dalal
- Emily Dalton
- Melissa M Daltry
- Madison Lynn Daly
- Moira Daly
- Christina Damon
All providers in Burlington, VT · Internal 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 Aug 14, 2013. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.