Individual provider Active NPI

Eliza W Anti, N.P.

  • Nurse Practitioner
  • Barre, VT
National Provider Identifier
1003205915
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
101.0109654 Issued in VT
Practice address
225 S Main St
Barre, VT 05641-4881
Phone
(802) 479-3302
Fax
(802) 225-5720
NPI assigned
Jan 15, 2015
Last updated
Jul 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 101.0109654 VT Primary

Addresses

Primary practice location

225 S Main St
Barre, VT 05641-4881

Mailing address

PO Box 547
Att: CVMC Finance Department
Barre, VT 05641-0547
Phone (802) 479-3302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713000154 VT Practitioner - Nurse Practitioner 4981916434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Clearchoicemd, PLLCGroup PAC ID 1850510058, 85 clinicians

Practice addresses (Care Compare)

798 US Route 302
Unit 2
Barre, VT 05641-2305
Phone (603) 526-4635

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc CurrentSince May 4, 2015 Accepting new patients
Clearchoicemd, PLLC CurrentSince Dec 13, 2021 Accepting new patients
Clearchoicemd, PLLC CurrentSince Dec 13, 2021 Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients

Locations

225 S Main St
Barre, VT 05641
Phone (802) 476-9242

798 US Route 302
#2
Barre, VT 05641
Phone (802) 744-0138

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1003205915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "address_2": "ATT: CVMC FINANCE DEPARTMENT",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410547",
            "telephone_number": "802-479-3302",
            "fax_number": "802-225-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S MAIN ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414881",
            "telephone_number": "802-479-3302",
            "fax_number": "802-225-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTI",
        "first_name": "ELIZA",
        "middle_name": "W",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101.0109654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barre, VT

Sources for this page

Verify at the official NPI Registry.