Individual provider Active NPI

Katherine Gamble Marvin, MD

  • Family Medicine Physician
  • Stowe, VT
National Provider Identifier
1093937997
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042-0011594 Issued in VT
Practice address
1878 Mountain Rd
Stowe, VT 05672-4776
Phone
(802) 253-4853
Fax
(802) 888-1759
NPI assigned
May 2, 2007
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042-0011594 VT Primary

Addresses

Primary practice location

1878 Mountain Rd
Stowe, VT 05672-4776

Mailing address

PO Box 749
Morrisville, VT 05661-0749
Phone (802) 851-8619

Other practice location 1

609 Washington Hwy
Morrisville, VT 05661-8652
Phone (802) 888-5639

Other names 1

  • Katherine Lawder Gamble Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081020000135 VT Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 0941301022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Maryland School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lamoille Health Partners IncGroup PAC ID 4789586942, shared by 6 NPIs, 37 clinicians

Practice addresses (Care Compare)

1878 Mountain Rd
Stowe, VT 05672-4776
Phone (802) 888-8320

272 N Main St
Cambridge, VT 05444-9810
Phone (802) 644-5114

607 Washington Hwy
Morrisville, VT 05661-8652
Phone (802) 888-8320

609 Washington Hwy
Morrisville, VT 05661-8652
Phone (802) 888-7585

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lamoille Health Partners, Inc Current Accepting new patients
Lamoille Health Partners Inc. Family Medicine CurrentSince Oct 23, 2023 Accepting new patients
Lamoille Health Partners, Inc Family Medicine CurrentSince Oct 23, 2023 Accepting new patients
Lamoille Health Partners, Inc Family Medicine Current Accepting new patients
Little Rivers Health Care, Inc. Past Accepting new patients

Locations

272 N Main St
Unit 101
Cambridge, VT 05444
Phone (802) 644-5114

530 Washington Hwy
Ste 6
Morrisville, VT 05661

609 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-5639

66 Morrisville Plz
Morrisville, VT 05661
Phone (802) 477-2577

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDHBAA
  • Direct secure messaging: katherine.marvin@chslv.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1093937997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056610749",
            "telephone_number": "802-851-8619",
            "fax_number": "802-851-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1878 MOUNTAIN RD",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056724776",
            "telephone_number": "802-253-4853",
            "fax_number": "802-888-1759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Washington Hwy",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "VT",
            "postal_code": "056618652",
            "country_code": "US",
            "telephone_number": "802-888-5639",
            "fax_number": "802-888-6040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARVIN",
        "first_name": "KATHERINE",
        "middle_name": "GAMBLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042-0011594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "GAMBLE",
            "middle_name": "LAWDER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stowe, VT

Sources for this page

Verify at the official NPI Registry.