Healthcare Provider Details

I. General information

NPI: 1932015021
Provider Name (Legal Business Name): SOUTH BURLINGTON SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 SHELBURNE RD
BURLINGTON VT
05401
US

IV. Provider business mailing address

577 DORSET STREET
SOUTH BURLINGTON VT
05403
US

V. Phone/Fax

Practice location:
  • Phone: 802-652-7253
  • Fax: 802-652-7394
Mailing address:
  • Phone: 802-652-7253
  • Fax: 802-652-7394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: AMANDA GASPARINI
Title or Position: MEDICAL COORDINATOR
Credential:
Phone: 802-652-7253