Individual provider Active NPI

Christie Brown, PTA

  • Nursing Facility/Intermediate Care Facility
  • Newport, VT
National Provider Identifier
1093115651
Registry record updated Sep 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
041.0000521 Issued in VT
Practice address
238 Woods Farm Rd
Newport, VT 05855-8930
Phone
(802) 334-5838
NPI assigned
Sep 1, 2014
Last updated
Sep 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2014

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 041.0000521 NH
Clinic/Center 261Q00000X 041/0000521 VT
General Acute Care Hospital 282N00000X 041.0000521 NH
Assisted Living Facility 310400000X 041.0000521 VT
Custodial Care Facility 311Z00000X 041.0000521 VT
Nursing Facility/Intermediate Care Facility 313M00000X 041.0000521 VT Primary
Skilled Nursing Facility 314000000X 041.0000521 NH
Skilled Nursing Facility 314000000X 041.0000521 VT

Addresses

Primary practice location

238 Woods Farm Rd
Newport, VT 05855-8930

Mailing address

238 Woods Farm Rd
Newport, VT 05855-8930
Phone (802) 334-5838

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

State licenses

LicenseStateTypeSpecialty
041/0000521VTMDClinic/Center
041.0000521NHMDGeneral Acute Care Hospital
041.0000521VTMDCustodial Care Facility

NPI Registry JSON

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

{
    "created_epoch": "1409529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409529600000",
    "number": "1093115651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 WOODS FARM RD",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058558930",
            "telephone_number": "802-334-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 WOODS FARM RD",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058558930",
            "telephone_number": "802-334-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-01",
        "last_updated": "2014-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NH",
            "license": "041.0000521",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VT",
            "license": "041/0000521",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NH",
            "license": "041.0000521",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VT",
            "license": "041.0000521",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "VT",
            "license": "041.0000521",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "VT",
            "license": "041.0000521",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "041.0000521",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VT",
            "license": "041.0000521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2014; 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.