Peter Richard Nobes, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

055-0030117 Issued in VT

Practice address

32 Malletts Bay Ave
Winooski, VT 05404-1959

Phone

(802) 655-4422

Fax

(802) 861-2678

NPI assigned

Dec 12, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1003976630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 SPEAR ST",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054458221",
            "telephone_number": "802-425-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MALLETTS BAY AVE",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041959",
            "telephone_number": "802-655-4422",
            "fax_number": "802-861-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBES",
        "first_name": "PETER",
        "middle_name": "RICHARD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VT",
            "license": "055-0030117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette W. Moy, MS, L.AC
• Sarah Elizabeth Murphy, P.T.
• William Myregaard, LCMHC
• Dorsey T Naylor, LICSW
• Elena Sergeyevna Nichols, LICSW
• Tyler Patrick O'Bryan, MD
• Bernadette M O'Neil, LICSW,LADC
• Onion River Chiropractic, Inc
• Our Lady of Providence VT. Inc.
• Benjamin M Patno, LCMHC

• Medical Physician Assistant in Winooski, VT
• Providers in Winooski, VT by specialty
• Medical Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.