| Aim Healthcare Providers Vt, Llc | |
|
725 Community Dr Ste 302 South Burlington VT 05403-6652 | |
| (480) 494-2465 | |
| Not Available |
| Full Name | Aim Healthcare Providers Vt, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 725 Community Dr Ste 302, South Burlington, Vermont |
| Authorized Official Name and Position | Kelly Karaniuk (CREDENTIALING DIRECT) |
| Authorized Official Contact | 4804942465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aim Healthcare Providers Vt, Llc 161 E Rivulon Blvd Ste 210 Gilbert AZ 85297-0087 Ph: (480) 494-2465 | Aim Healthcare Providers Vt, Llc 725 Community Dr Ste 302 South Burlington VT 05403-6652 Ph: (480) 494-2465 |
| NPI Number | 1649014705 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 03/06/2025 |
| Medicare PECOS PAC ID | 9830637719 |
|---|---|
| Medicare Enrollment ID | O20240812000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649014705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ann T Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578907044 PECOS PAC ID: 8921241365 Enrollment ID: I20140110000465 |
| Provider Name | Tiney Elizabeth Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154331346 PECOS PAC ID: 3870680457 Enrollment ID: I20170306002079 |
| Provider Name | Tammy Devereux Aprn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609587492 PECOS PAC ID: 9234504986 Enrollment ID: I20230411000785 |
| Provider Name | Frances Vivein Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164146528 PECOS PAC ID: 7416317615 Enrollment ID: I20230719003833 |
| Provider Name | Jessica Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740435353 PECOS PAC ID: 9234294646 Enrollment ID: I20240812000924 |
| Provider Name | Wietske Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235291394 PECOS PAC ID: 9638073760 Enrollment ID: I20240829002070 |
| Provider Name | Amish Purohit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053413286 PECOS PAC ID: 1355347170 Enrollment ID: I20240913003461 |
| Provider Name | Lindsay Carlucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912348541 PECOS PAC ID: 7214161397 Enrollment ID: I20240919001366 |
| Provider Name | Courtney Borland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104406776 PECOS PAC ID: 3274936653 Enrollment ID: I20241021001259 |
| Provider Name | Allison Comtois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508605429 PECOS PAC ID: 4183157878 Enrollment ID: I20241104000276 |
| Provider Name | Tricia Mcgovern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891026506 PECOS PAC ID: 3971648551 Enrollment ID: I20241106000940 |
| Provider Name | Jessica Fichter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447643986 PECOS PAC ID: 5698087732 Enrollment ID: I20241121002868 |
| Provider Name | Heather White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275818957 PECOS PAC ID: 8729252986 Enrollment ID: I20241230001273 |
| Provider Name | Jessica Claire Cullity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962227710 PECOS PAC ID: 8729516794 Enrollment ID: I20250106000522 |
| Provider Name | Macheri Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902622178 PECOS PAC ID: 7618405952 Enrollment ID: I20250114001725 |
| Provider Name | Jiori Jacobsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952977555 PECOS PAC ID: 9931507621 Enrollment ID: I20250304000715 |
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