Active NPI
Town of Shelburne
- Land Ambulance
- Shelburne, VT
National Provider Identifier
1053394973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0323
- Legal business name
- TOWN OF SHELBURNE
- Practice address
- 154 Turtle Lane
Shelburne, VT 05482 - Phone
- (802) 985-5125
- Fax
- (802) 985-5128
- NPI assigned
- Nov 23, 2005
- Organization subpart
- Yes
- Parent organization
- TOWN OF SHELBURNE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendi Turner
- Title
- Treasurer
- Phone
- (802) 985-5125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0323 | VT | Primary |
Addresses
Primary practice location
154 Turtle Lane
Shelburne, VT 05482
Mailing address
PO Box 254
Shelburne, VT 05482-0254
Phone (802) 985-5125
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2534 | Other | VT | BLUE CROSS |
| OAM0136 | Medicaid | VT |
Other names 1
- Shelburne Rescue Squad
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110428000126 | VT | Part B Supplier - Ambulance Service Supplier | 6901081355 | Practice locations: Shelburne, VT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 47D1032625 | Town of Shelburne Rescue Department | Certificate of waiver | Oct 26, 2026 |
National Provider Directory
National Provider Directory- Part of
- Town of Shelburne Rescu
Locations
154 Turtle Ln
Shelburne, VT 05482
Phone (802) 985-5125
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Berlin, VT
- NPI 1538720537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303776000000",
"number": "1053394973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 254",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "054820254",
"telephone_number": "802-985-5125",
"fax_number": "802-985-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 TURTLE LANE",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "05482",
"telephone_number": "802-985-5125",
"fax_number": "802-985-5128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF SHELBURNE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TOWN OF SHELBURNE",
"enumeration_date": "2005-11-23",
"last_updated": "2011-04-26",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "WENDI",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "802-985-5125"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "VT",
"license": "0323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "2534",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OAM0136",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shelburne Rescue Squad",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shelburne, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.