Individual provider Active NPI

Jamie Sheahan, M.S., R.D.

  • Registered Dietitian
  • South Burlington, VT
National Provider Identifier
1073955779
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
074.0097833 Issued in VT
Practice address
24 Knoll Cir
South Burlington, VT 05403-7647
Phone
(802) 598-9705
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 074.0097833 VT Primary

Addresses

Primary practice location

24 Knoll Cir
South Burlington, VT 05403-7647

Mailing address

24 Knoll Cir
South Burlington, VT 05403-7647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140527000777 VT Practitioner - Registered Dietitian Or Nutrition Professional 4284857939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Center of Vermont LLCGroup PAC ID 2163442138, 13 clinicians

Practice addresses (Care Compare)

142 W Twin Oaks Ter
South Burlington, VT 05403-7132
Phone (802) 383-0674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
074.0097833VTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Health Nutrition, PLLC Dietitian, Registered CurrentSince Feb 4, 2014 Accepting new patients

Locations

302 Mountain View Dr
Ste 101
Colchester, VT 05446
Phone (802) 999-9207

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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1073955779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 KNOLL CIR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 KNOLL CIR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037647",
            "telephone_number": "802-598-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAHAN",
        "first_name": "JAMIE",
        "credential": "M.S., R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "074.0097833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.

Verify at the official NPI Registry.