NPIMap

Organization Active NPI

Planned Parenthood of Northern New England

  • Non-Pharmacy Dispensing Site
  • Williston, VT
National Provider Identifier
1073904199
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PLANNED PARENTHOOD OF NORTHERN NEW ENGLAND
Practice address
75 Talcott Rd Ste 10
Williston, VT 05495-8122
Phone
(802) 879-4800
NPI assigned
Feb 11, 2015
Last updated
Feb 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Anastasia JB Greer
Title
Credentialing Coordinator
Phone
(802) 448-9719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

75 Talcott Rd Ste 10
Williston, VT 05495-8122

Mailing address

128 Lakeside Ave Ste 301
Attn: Credentialing
Burlington, VT 05401-5906
Phone (802) 448-9719

Other identifiers 1

IdentifierTypeStateIssuer
0006041MedicaidVT

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of Northern New England23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

75 Talcott Rd
Ste 10
Williston, VT 05495
Phone (802) 879-4800

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1073904199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LAKESIDE AVE STE 301",
            "address_2": "ATTN: CREDENTIALING",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015906",
            "telephone_number": "802-448-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 TALCOTT RD STE 10",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958122",
            "telephone_number": "802-879-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF NORTHERN NEW ENGLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_middle_name": "JB",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "802-448-9719"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006041",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.