Healthcare Provider Details

I. General information

NPI: 1124250352
Provider Name (Legal Business Name): ROMEG ENTERPRISES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2009
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 ELWIN LN
JACKSONVILLE VT
05342-9691
US

IV. Provider business mailing address

PO BOX 576
JACKSONVILLE VT
05342-0576
US

V. Phone/Fax

Practice location:
  • Phone: 508-637-1604
  • Fax:
Mailing address:
  • Phone: 508-637-1604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number273780
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: WENDY ANN SERGEANT
Title or Position: PRESIDENT
Credential: DNP
Phone: 802-435-0616