Individual provider Active NPI

Sherry L Barnard, APRN

  • Adult Health Nurse Practitioner
  • Randolph, VT
National Provider Identifier
1073798666
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
101.0134372 Issued in VT
Practice address
17 Central St Unit 1
Randolph, VT 05060-1039
Phone
(802) 413-6030
Fax
(802) 735-1664
NPI assigned
Jan 2, 2008
Last updated
Apr 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 101.0134372 VT Primary

Addresses

Primary practice location

17 Central St Unit 1
Randolph, VT 05060-1039

Mailing address

17 Central St Unit 1
Randolph, VT 05060-1039
Phone (802) 431-6030

Other practice location 1

353 Blair Park Rd
Williston, VT 05495-7530
Phone (802) 847-1470

Other identifiers 1

IdentifierTypeStateIssuer
1014377MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190918000371 VT Practitioner - Nurse Practitioner 3779813795 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc CurrentSince Sep 1, 2019 Accepting new patients

Locations

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

353 Blair Park Rd
Williston, VT 05495
Phone (802) 847-1440

Organizations & group practices 1

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": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1073798666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CENTRAL ST UNIT 1",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050601039",
            "telephone_number": "802-431-6030",
            "fax_number": "802-735-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CENTRAL ST UNIT 1",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050601039",
            "telephone_number": "802-413-6030",
            "fax_number": "802-735-1664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 Blair Park Rd",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "VT",
            "postal_code": "054957530",
            "country_code": "US",
            "telephone_number": "802-847-1470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNARD",
        "first_name": "SHERRY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VT",
            "license": "101.0134372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014377",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, VT

Sources for this page

Verify at the official NPI Registry.