Essex Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

120475 Issued in VT

Legal business name

ESSEX PEDIATRICS PC

Practice address

89 Main St
Essex JCT, VT 05452-3207

Phone

(802) 879-6556

Fax

(802) 872-8021

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sue Rogers-Low

Title

Office Manager

Phone

(802) 879-6556

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Raabe Destito, FNP BC

  • Family Nurse Practitioner
  • Essex JCT, VT
  • NPI 1699944389
  Medicare reassignment
• Jerry Steven Hale, M.D.

  • Pediatrics Physician
  • Essex JCT, VT
  • NPI 1487642807
  Medicare reassignment
• Sandra E Kapsalis, M.D.

  • Pediatrics Physician
  • Essex JCT, VT
  • NPI 1497743827
  Medicare reassignment
• Kristen L Massingham, CPNP

  • Pediatric Nurse Practitioner
  • Essex Junction, VT
  • NPI 1336409424
  Medicare reassignment
• Meredith Davies Monahan, M.D.

  • Pediatrics Physician
  • Essex JCT, VT
  • NPI 1619933033
  Medicare reassignment
• Aaron Wallace Burley

  • Pediatrics Physician
  • Essex Junction, VT
  • NPI 1730421538
  NPD
• Hannah Eve Johnson, MD

  • Pediatrics Physician
  • Essex Junction, VT
  • NPI 1295363679

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1104925817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054523207",
            "telephone_number": "802-879-6556",
            "fax_number": "802-872-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054523207",
            "telephone_number": "802-879-6556",
            "fax_number": "802-872-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-05-09",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS-LOW",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "802-879-6556",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "120475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN1603",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Edward Dennett, MD
• Sharon Williams Dennett, MSW
• Rachel Raabe Destito, FNP BC
• Jon D Eriksson, OD
• Essex Mansfiled, LLC
• Dorothy Fisher, MD
• Sylvia Irene Fjeld, P.T.
• Rachel M Foxx, RN, IBCLC
• Debra Frisbie, H.I.S.
• Craig Allen Goliber, D.M.D.

• Pediatrics Physician in Essex JCT, VT
• Providers in Essex JCT, VT by specialty
• Pediatrics Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.