Active NPI
Steven Eldred
- Peer Specialist
- Newport, VT
National Provider Identifier
1093583064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 52811805
- Practice address
- 181 Crawford Rd
Newport, VT 05855-6405 - Phone
- (802) 673-2004
- NPI assigned
- Dec 19, 2023
- Last updated
- Dec 19, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 52811805 | VT | Primary |
Addresses
Primary practice location
181 Crawford Rd
Newport, VT 05855-6405
Mailing address
181 Crawford Rd
Newport, VT 05855-6405
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 |
|---|---|---|---|
| 52811805 | VT | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1093583064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 CRAWFORD RD",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058556405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 CRAWFORD RD",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058556405",
"telephone_number": "802-673-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDRED",
"first_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-19",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "VT",
"license": "52811805",
"primary": true
}
],
"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 Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.