Organization Active NPI

Taconic Essential Primary Care

  • Primary Care Nurse Practitioner
  • Rutland, VT
National Provider Identifier
1023829876
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
TACONIC ESSENTIAL PRIMARY CARE
Practice address
228 S Main St Apt 51
Rutland, VT 05701-4868
Phone
(802) 772-7107
Fax
(802) 772-9003
NPI assigned
Jan 20, 2025
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Matthew T Dayton, LNANPI 1629875604
Title
Co Owner / Practice Manager
Phone
(802) 772-7107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

228 S Main St Apt 51
Rutland, VT 05701-4868

Mailing address

PO Box 1280
Rutland, VT 05701-1280
Phone (802) 772-7107

Other identifiers 1

IdentifierTypeStateIssuer
6712491MedicaidVT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address INFO@TACONICESSENTIALPCP.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250314002338 VT Part B Supplier - Clinic/Group Practice 4880116219 Receives reassigned benefits from 1 practitioner
Practice locations: Rutland, VT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1023829876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1280",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057011280",
            "telephone_number": "802-772-7107",
            "fax_number": "802-772-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S MAIN ST APT 51",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014868",
            "telephone_number": "802-772-7107",
            "fax_number": "802-772-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACONIC ESSENTIAL PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "DAYTON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CO OWNER / PRACTICE MANAGER",
        "authorized_official_telephone_number": "802-772-7107",
        "authorized_official_credential": "LNA"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6712491",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INFO@TACONICESSENTIALPCP.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "228 S Main St Apt 51",
            "city": "Rutland",
            "state": "VT",
            "country_code": "US",
            "postal_code": "057014868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.