FIDDLEHEAD LEDGE LLC
NPI 1669146510
Family Medicine in Swanton, VT

Active since August 04, 2021CLIA 47D0091477 · Microscopy
12 CHURCH ST, SWANTON, VT 05488(802) 868-3175 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fiddlehead Ledge Llc NPPES

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

FIDDLEHEAD LEDGE LLC (NPI 1669146510), doing business as Northern Green Mountain Family Practice, is a healthcare organization registered as a family medicine in Swanton, Vermont and active in the NPI registry since August 2021. The organization holds a CLIA Microscopy certificate valid through October 31, 2027 and lists Kristina Duprat, Owner, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1669146510
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFIDDLEHEAD LEDGE LLC
Location Address12 CHURCH STSwanton, VT 05488-1447
Mailing Address67 Shawville RdSheldon, VT 05483-8383 · (802) 933-5702
Organization SubpartNo
Authorized OfficialKristina DupratOwner · (802) 933-5702
Enumeration DateAugust 4, 2021
NPPES CertifiedAugust 3, 2021
NPI 1669146510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12 CHURCH ST, Swanton, VT 05488

Other Names 1

Doing Business AsNorthern Green Mountain Family Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
47D0091477
Facility Type
Physician Office
Certificate Effective Date
November 01, 2025
Certificate Expiration Date
October 31, 2027
Laboratory Director
KRISTINA UNIKEWICZ
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Fiddlehead Ledge Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for FIDDLEHEAD LEDGE LLC

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Internal Medicine
12 CHURCH ST
SWANTON, VT 05488
Family Medicine
12 CHURCH ST
SWANTON, VT 05488
Nurse Practitioner (Family)
12 CHURCH ST
SWANTON, VT 05488
Nurse Practitioner (Family)
12 CHURCH ST
SWANTON, VT 05488
Nurse Practitioner (Family)
12 CHURCH ST
SWANTON, VT 05488
Internal Medicine
12 CHURCH ST
SWANTON, VT 05488

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669146510, enumerated as an "organization" on August 04, 2021.

The provider is located at 12 CHURCH ST SWANTON, VT 05488 and the phone number is (802) 868-3175.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.