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TAYLOR MARIKA LAKUSTA-WONG M.D.
NPI 1366185191
Student in an Organized Health Care Education/Training Program in Burlington, VT

Active since April 19, 2022PECOS Enrolled
111 COLCHESTER AVENUE, UVMMC, DEPARTMENT OF NEUROLOGY, BURLINGTON, VT 05401(802) 847-2345 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 5, 2022, Apr 19, 2022 (2 updates tracked since 2022).

About Taylor Marika Lakusta-wong M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR MARIKA LAKUSTA-WONG M.D. (NPI 1366185191) is an individual student in an organized health care education/training program in Burlington, Vermont and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366185191
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTAYLOR MARIKA LAKUSTA-WONGCredential: M.D.
Location Address111 COLCHESTER AVENUE, UVMMC, DEPARTMENT OF NEUROLOGYBurlington, VT 05401
Mailing Address111 Colchester Ave, University Of Vermont Medical Center, Dept Of NeurologyBurlington, VT 05401 · (802) 847-2345
Phone(802) 847-2345
Sole ProprietorNo
Enumeration DateApril 19, 2022
Last NPPES UpdateAugust 5, 20222 updates tracked since enumeration
NPPES CertifiedAugust 5, 2022
✔ NPI 1366185191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 COLCHESTER AVENUE, Burlington, VT 05401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Marika Lakusta-wong M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUDITH L LEWIS MD
Psychiatry & Neurology (Psychiatry)
111 COLCHESTER AVENUE, FLETCHER ALLEN HEALTH CARE
BURLINGTON, VT 05401
Chittenden County (804) 847-2791
CHRISTOPHER JAMES GRACE MD
Internal Medicine (Infectious Disease)
111 COLCHESTER AVENUE, FLETCHER ALLEN HEALTH EAST PAVILLION 5TH FLOOR
BURLINGTON, VT 05401
Chittenden County (802) 847-4594
SHALINI JHA MB BCH BAO
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVENUE, FLETCHER ALLEN HEALTH CARE WEST PAVILION 2-272
BURLINGTON, VT 05401
Chittenden County (802) 656-2156
DR. MAKEDA SEMMA M.D.
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVENUE, MAILSTOP 156SM2 FLETCHER ALLEN HEALTH CARE
BURLINGTON, VT 05401
Chittenden County (802) 847-2700
ANNE DOUGHERTY
Obstetrics & Gynecology
111 COLCHESTER AVENUE, FAHC
BURLINGTON, VT 05401
Chittenden County (802) 847-1400
DR. KEVIN T CAREY M.D.
Internal Medicine (Cardiovascular Disease)
111 COLCHESTER AVENUE, CARDIOLOGY
BURLINGTON, VT 05401
Chittenden County (802) 847-3602
DR. JOSHUA DAVID FARKAS MD, MS
Internal Medicine (Critical Care Medicine)
111 COLCHESTER AVENUE, FLETCHER ALLEN HEALTH CARE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
GORDON L. JENSEN M.D., PH.D.
Internal Medicine
111 COLCHESTER AVENUE, UVM MEDICAL CENTER, DEPT. OF MEDICINE
BURLINGTON, VT 05401
Chittenden County (802) 847-8865

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Lakusta-wong's NPI number?

The NPI number for Taylor Lakusta-wong is 1366185191. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Taylor Lakusta-wong located?

Taylor Lakusta-wong practices at 111 Colchester Avenue Uvmmc, Department Of Neurology, Burlington, VT 05401. The listed phone number is (802) 847-2345.

What is Taylor Lakusta-wong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Taylor Lakusta-wong enrolled in Medicare?

Yes. Taylor Lakusta-wong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taylor Lakusta-wong was last updated on August 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.