Individual provider Active NPI

Kelly Frances Pratt, PHARMD

  • Ambulatory Care Pharmacist
  • Middlebury, VT
National Provider Identifier
1043995533
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
RP457022 Issued in PA
Practice address
82 Catamount Park
Middlebury, VT 05753-1292
Phone
(802) 388-7185
NPI assigned
Jun 21, 2023
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X RP457022 PA Primary

Addresses

Primary practice location

82 Catamount Park
Middlebury, VT 05753-1292

Mailing address

1534 W 54TH St
Erie, PA 16509-2670
Phone (571) 340-0911

Other practice location 1

10 North St
Vergennes, VT 05491-1107
Phone (802) 877-3466

Other practice location 2

61 Court Dr
Brandon, VT 05733-8407
Phone (802) 247-3755

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP457022PAMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Hospital, Inc PastSince Jun 25, 2023 Accepting new patients
Porter Hospital Inc PastSince Oct 26, 2009 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1043995533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 W 54TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092670",
            "telephone_number": "571-340-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 CATAMOUNT PARK",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531292",
            "telephone_number": "802-388-7185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 North St",
            "address_purpose": "LOCATION",
            "city": "Vergennes",
            "state": "VT",
            "postal_code": "054911107",
            "country_code": "US",
            "telephone_number": "802-877-3466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 Court Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "VT",
            "postal_code": "057338407",
            "country_code": "US",
            "telephone_number": "802-247-3755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "KELLY",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "PA",
            "license": "RP457022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.