- Practice location
- 130 Fisher RD Ste 3-1, Berlin, VT 05602-9000
- Phone
- 802-225-7025
- Fax
- —
- Last updated
- September 4, 2025
Johanna Lee Wickemeyer is an Otolaryngology based in Berlin, VT. Johanna Lee Wickemeyer practices in Berlin, VT and has the professional credentials of MD. The NPI Number for Johanna Lee Wickemeyer is 1902337033 and holds a License No. 042.0018725 (VT). The current practice location address for Johanna Lee Wickemeyer is 130 Fisher RD Ste 3-1, Berlin, VT 05602-9000 and can be reached out via phone at 802-225-7025.
Provider Profile Details
- NPI Number
- 1902337033
- Provider Name
- Johanna Lee Wickemeyer
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 130 Fisher RD Ste 3-1, Berlin, VT 05602-9000
- Phone Number
- 802-225-7025
- Primary Taxonomy
- Otolaryngology · 207Y00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 21, 2017
- Last Update Date
- September 4, 2025
- Certification Date
- September 4, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Fisher RD Ste 3-1
Berlin, VT 05602-9000 - City
- Berlin
- State
- Vermont
- Zip
- 05602-9000
- Phone Number
- 802-225-7025
Provider Business Mailing Address Details
- Address
- 111 Colchester Ave
Burlington, VT 05401-1473 - City
- Burlington
- State
- VT
- Zip
- 05401-1473
- Phone Number
- 802-847-0000
License Information
- License Number (1)
- 042.0018725
- License State (1)
- VT
- Taxonomy (1)
- Otolaryngology · 207Y00000X · Primary
- License Number (2)
- 74545
- License State (2)
- CT
- Taxonomy (2)
- Otolaryngology, Sleep Medicine · 207YS0012X
- License Number (3)
- 74545
- License State (3)
- CT
- Taxonomy (3)
- Otolaryngology · 207Y00000X
- License Number (4)
- 042.0018725
- License State (4)
- VT
- Taxonomy (4)
- Otolaryngology, Sleep Medicine · 207YS0012X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Otolaryngology providers near Berlin, VT
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- Danielle Mcsalis, RN, NPNurse Practitioner · NPI 1063303832
- Andrea Sweet, RNRegistered Nurse, Wound Care · NPI 1003727249
- Ezra DemersStudent in an Organized Health Care Education/Training Program · NPI 1033075601
Frequently Asked Questions
What is the NPI number of Dr. Johanna L Wickemeyer, MD?
The NPI number of Dr. Johanna L Wickemeyer, MD is 1902337033. It was assigned on March 21, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Johanna L Wickemeyer, MD?
Dr. Johanna L Wickemeyer, MD is registered under the primary taxonomy Otolaryngology (code 207Y00000X), licensed in VT under license number 042.0018725.
Where does Dr. Johanna L Wickemeyer, MD practice?
The practice location is 130 Fisher RD Ste 3-1, Berlin, VT 05602-9000. The office can be reached at 802-225-7025 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902337033 directly on the NPPES registry website.