Andrew Kippen Ruddell

Individual provider Active NPI Case Manager/Care Coordinator · Hartford, VT

NPI 1023940392 · NPPES record last updated Jun 1, 2026

Key facts

NPI
1023940392
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
49 School St
Hartford, VT 05074
Phone
(802) 886-4500
Fax
(802) 886-4520
NPI assigned
Jun 1, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

49 School St
Hartford, VT 05074

Mailing address

390 River St
Springfield, VT 05156-2226
Phone (802) 886-4500

Other providers in Hartford, VT

All providers in Hartford, VT · Case Manager/Care Coordinator in Vermont

Sources for this page

Verify at the official NPI Registry.