Individual provider Active NPI

Kaitlyn Nascimento, MA

  • Student in an Organized Health Care Education/Training Program
  • Barre, VT
National Provider Identifier
1043192024
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
097.0136111 Issued in VT
Practice address
23 Summer St
Barre, VT 05641-3741
Phone
(802) 479-4055
Fax
(802) 661-5699
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Student in an Organized Health Care Education/Training Program 390200000X 097.0136111 VT Primary

Addresses

Primary practice location

23 Summer St
Barre, VT 05641-3741

Mailing address

PO Box 647
Montpelier, VT 05601-0647
Phone (802) 479-4055

Other practice location 1

34 Barre St
Montpelier, VT 05602-3510
Phone (802) 301-3200

Other practice location 2

9 Heaton St
Montpelier, VT 05602-2489
Phone (802) 223-6328

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
097.0136111VTMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1043192024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056010647",
            "telephone_number": "802-479-4055",
            "fax_number": "802-661-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SUMMER ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056413741",
            "telephone_number": "802-479-4055",
            "fax_number": "802-661-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Barre St",
            "address_purpose": "LOCATION",
            "city": "Montpelier",
            "state": "VT",
            "postal_code": "056023510",
            "country_code": "US",
            "telephone_number": "802-301-3200",
            "fax_number": "802-223-0842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Heaton St",
            "address_purpose": "LOCATION",
            "city": "Montpelier",
            "state": "VT",
            "postal_code": "056022489",
            "country_code": "US",
            "telephone_number": "802-223-6328",
            "fax_number": "802-229-8004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASCIMENTO",
        "first_name": "KAITLYN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VT",
            "license": "097.0136111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barre, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.