Christina Ilse Dinicola, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0420013072 Issued in VT

Practice address

40 S Main St
Randolph, VT 05060-1377

Phone

(802) 728-2420

Fax

(802) 728-2111

NPI assigned

Feb 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gifford Health Care, Inc

  • General Practice Physician
  • Randolph, VT
  • NPI 1013269430
  Medicare reassignment NPD
• Gifford Medical Center Inc.

  • General Acute Care Hospital
  • Randolph, VT
  • NPI 1942329446
  Medicare reassignment NPD
• Gifford Health Care, Inc

  dba Gifford Pedicatric and Adolescent Medicine

  • Federally Qualified Health Center (FQHC)
  • Randolph, VT
  • NPI 1831782929
  NPD
• Gifford Medical Center Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Randolph, VT
  • NPI 1013928068
  NPD
• Gifford Health Care, Inc

  dba Bethel Health Center

  • Federally Qualified Health Center (FQHC)
  • Bethel, VT
  • NPI 1659701571
  NPD (past)
• Gifford Medical Center Inc

  • Critical Access Hospital
  • Randolph, VT
  • NPI 1730199647
  NPD (past)

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1962670455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050602000",
            "telephone_number": "802-728-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S MAIN ST",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050601377",
            "telephone_number": "802-728-2420",
            "fax_number": "802-728-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINICOLA",
        "first_name": "CHRISTINA",
        "middle_name": "ILSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD426793",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "0420013072",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08994900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024133070001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Davis, M.ED
• Lydia M Deflorio, APRN, CNM
• Priscella Desjardins
• Samantha Diehl, BCBA
• Jason Dimond, BA
• Louis A. Dinicola, M.D.
• Jessica M. Donnelly, M.A.
• Michael Dooley, AS
• Erin Dunbar, ASN
• Nancy Duranleau, BA

• Pediatrics Physician in Randolph, VT
• Providers in Randolph, VT by specialty
• Pediatrics Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.