Green Mountain Nutrition Associates

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

074-0000052 Issued in VT

Legal business name

GREEN MOUNTAIN NUTRITION ASSOCIATES

Practice address

20 S Main St
Barre, VT 05641-4826

Phone

(802) 476-7607

NPI assigned

Sep 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janice WatermanNPI 1194774372

Title

Partner

Phone

(802) 476-7607

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice D Waterman, RD CDE

  • Registered Dietitian
  • Plainfield, VT
  • NPI 1194774372

  Dietitian, Registered

  NPD (past) Authorized official
• Carolyn Suzanne Johansen, RD, CDE, CD

  • Registered Dietitian
  • Barre, VT
  • NPI 1578607099

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932201407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 CENTER RD",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056028547",
            "telephone_number": "802-476-7607",
            "fax_number": "802-229-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S MAIN ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414826",
            "telephone_number": "802-476-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN NUTRITION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "802-476-7607"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "074-0000052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007363",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime M. Grandfield
• Granite City Housing, Inc.
• Granite City Housing, Inc.
• Micah Grant, APRN
• Tina M. Grant
• Gordon Daniel Green, BA
• Rashaundra S. Green
• Brian Daniel Greene, ATC
• Rachel Nell Greene, NP
• George W. Gumbrell, MA

• Registered Dietitian in Barre, VT
• Providers in Barre, VT by specialty
• Registered Dietitian in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.