Healthcare Provider Details

I. General information

NPI: 1275706228
Provider Name (Legal Business Name): AMY RICE RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 MAIN ST
VERGENNES VT
05491-1169
US

IV. Provider business mailing address

72 MAIN ST
VERGENNES VT
05491-1155
US

V. Phone/Fax

Practice location:
  • Phone: 802-989-1942
  • Fax: 802-419-3715
Mailing address:
  • Phone: 802-989-1942
  • Fax: 802-419-3715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number068.0137077
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number0740000207
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: