Active NPI
Christie Brown, PTA
- Nursing Facility/Intermediate Care Facility
- Newport, VT
National Provider Identifier
1093115651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 041.0000521
- Practice address
- 238 Woods Farm Rd
Newport, VT 05855-8930 - Phone
- (802) 334-5838
- NPI assigned
- Sep 1, 2014
- Last updated
- Sep 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 041/0000521 | VT | MD | Clinic/Center |
| 041.0000521 | NH | MD | General Acute Care Hospital |
| 041.0000521 | VT | MD | Custodial 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.