Individual provider Active NPI

Katie L John, FNP

  • Family Nurse Practitioner
  • Barre, VT
National Provider Identifier
1013236827
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0069151 Issued in VT
Practice address
225 South Main Street
Barre Internal Medicine
Barre, VT 05641
Phone
(802) 479-3302
NPI assigned
May 19, 2010
Last updated
Dec 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101.0069151 VT Primary

Addresses

Primary practice location

225 South Main Street
Barre Internal Medicine
Barre, VT 05641

Mailing address

PO Box 547
Barre, VT 05641-0547
Phone (802) 371-4100

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
I20101014001152 VT Practitioner - Nurse Practitioner 0345433942 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Vermont College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

157 Towne Ave
Plainfield, VT 05667-9425
Phone (802) 454-8336

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gifford Health Care, Inc CurrentSince Sep 14, 2022 Accepting new patients
Gifford Medical Center Inc CurrentSince Feb 20, 2020 Accepting new patients
Central Vermont Medical Center Inc CurrentSince Aug 1, 2010 Accepting new patients
Northeast Washington County Community Health, Inc. CurrentSince Nov 10, 2025 Accepting new patients
Gifford Health Care, Inc CurrentSince Sep 14, 2022 Accepting new patients
Northeast Washington County Community Health Inc CurrentSince Nov 10, 2025 Accepting new patients
Gifford Medical Center Inc. CurrentSince Feb 20, 2020 Accepting new patients

Locations

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

77 Vine St
Barre, VT 05641
Phone (802) 225-1266

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

1823 Vt Rte 107
Bethel, VT 05032
Phone (802) 234-2114

157 Towne Ave
Plainfield, VT 05667
Phone (802) 322-6613

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

Organizations & group practices 7

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": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1013236827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410547",
            "telephone_number": "802-371-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SOUTH MAIN STREET",
            "address_2": "BARRE INTERNAL MEDICINE",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "05641",
            "telephone_number": "802-479-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "KATIE",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0069151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barre, VT

Sources for this page

Verify at the official NPI Registry.