Provider Demographics
NPI:1609764323
Name:BARBAGALLO- BRUSH, KRISTA (MS)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:BARBAGALLO- BRUSH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:KRISTA
Other - Middle Name:
Other - Last Name:LAFEMINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:78 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4594
Mailing Address - Country:US
Mailing Address - Phone:802-775-2381
Mailing Address - Fax:802-775-4020
Practice Address - Street 1:78 S MAIN ST
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4594
Practice Address - Country:US
Practice Address - Phone:802-775-2381
Practice Address - Fax:802-775-4020
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator