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EMILY VICKS ROSE MD
NPI 1871296509
Student in an Organized Health Care Education/Training Program in Burlington, VT

Active since March 22, 2023PECOS Enrolled
111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-5162 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Emily Vicks Rose Md NPPES

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

EMILY VICKS ROSE MD (NPI 1871296509) is an individual student in an organized health care education/training program in Burlington, Vermont and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871296509
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEMILY VICKS ROSECredential: MD
Location Address111 COLCHESTER AVEBurlington, VT 05401-1473
Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-5162
Phone(802) 847-5162
Sole ProprietorNo
Enumeration DateMarch 22, 2023
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1871296509 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 AVE, Burlington, VT 05401
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Other Names 1

Former Name (1)Emily Kathryn Vicks Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Vicks Rose Md 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.

CURTIS GREEN MD
Radiology (Diagnostic Radiology)
111 COLCHESTER AVE, PATRICK 109 MCHV
BURLINGTON, VT 05401
Chittenden County (802) 847-3592
DR. JEFFREY B SCHNOOR PHARM.D.
Pharmacist
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0058
MICHAEL JOHN OBERDING MD
Anesthesiology
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2415
MONIKA MODLINSKI M.D.
Anesthesiology
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2415
MRS. ANNE ELIZABETH KLEIN PA-C
Physician Assistant
111 COLCHESTER AVE, DERMATOLOGY OUTPATIENT CLINIC, 5TH FLOOR
BURLINGTON, VT 05401
Chittenden County (802) 847-4570
KATE ALANNA HODGE CRNA
Nurse Anesthetist, Certified Registered
111 COLCHESTER AVE, FAHC ANESTHESIA
BURLINGTON, VT 05401
Chittenden County (802) 847-2434
DR. REBECCA OWEN RUID PHD
Psychologist (Clinical)
111 COLCHESTER AVE, FAHC PSYCHOLOGY SERVICES
BURLINGTON, VT 05401
Chittenden County (802) 847-7967
DR. BRIAN YOUNG KIM MD
Ophthalmology
111 COLCHESTER AVE, 358WP5 OPHTHALMOLOGY
BURLINGTON, VT 05401
Chittenden County (802) 847-2251

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 Emily Rose's NPI number?

The NPI number for Emily Rose is 1871296509. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Emily Rose located?

Emily Rose practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-5162.

What is Emily Rose's specialty?

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

Is Emily Rose enrolled in Medicare?

Yes. Emily Rose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Rose was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.