Windham Southwest Supervisory Union

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

WINDHAM SOUTHWEST SUPERVISORY UNION

Practice address

1 School St
Wilmington, VT 05363-9648

Phone

(802) 464-1300

Fax

(802) 464-1303

NPI assigned

Jan 6, 2026

Organization subpart

No

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

Authorized official

Name

Heather-Lynn Tietgens, CPA

Title

Business Manager

Phone

(802) 464-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1013874775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCHOOL ST",
            "city": "WILMINGTON",
            "state": "VT",
            "postal_code": "053639648",
            "telephone_number": "802-464-1300",
            "fax_number": "802-464-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCHOOL ST",
            "city": "WILMINGTON",
            "state": "VT",
            "postal_code": "053639648",
            "telephone_number": "802-464-1300",
            "fax_number": "802-464-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM SOUTHWEST SUPERVISORY UNION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "TIETGENS",
        "authorized_official_first_name": "HEATHER-LYNN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "802-464-1300",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005206",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dagmar Tobits, M.D.
• Kristin Trudeau, M.A, LADC
• Walgreen Co
• Wanda Lea Walkowiak, RPT
• Carly Rae Wershoven, RPH

• Local Education Agency (LEA) in Wilmington, VT
• Providers in Wilmington, VT by specialty
• Local Education Agency (LEA) in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.