Active NPI
Addison Anne Hall, AEMT
- Intermediate Emergency Medical Technician
- Northfield, VT
National Provider Identifier
1013675263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- License
- 105061
- Practice address
- 31 Dog River Dr
Northfield, VT 05663 - Phone
- (760) 605-4509
- NPI assigned
- Dec 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | 105061 | VT | Primary |
Addresses
Primary practice location
31 Dog River Dr
Northfield, VT 05663
Mailing address
PO Box 93
Marshfield, VT 05658-0093
Phone (760) 605-4509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105061 | VT | MD | Intermediate Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1013675263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93",
"city": "MARSHFIELD",
"state": "VT",
"postal_code": "056580093",
"telephone_number": "760-605-4509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 DOG RIVER DR",
"city": "NORTHFIELD",
"state": "VT",
"postal_code": "05663",
"telephone_number": "760-605-4509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "ADDISON",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "AEMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-06",
"last_updated": "2021-12-06",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "VT",
"license": "105061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.