Lianna Ruth Percy, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

055-0031090 Issued in VT

Practice address

617 Riverside Ave
Burlington, VT 05401-1601

Phone

(802) 864-6309

Fax

(802) 860-4325

NPI assigned

Apr 3, 2007

Last updated

Jul 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

George Washington University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Champlain Medical Associates PLLCGroup PAC ID 4981868247, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Champlain Medical Associates PLLC

  • Family Medicine Physician
  • S Burlington, VT
  • NPI 1013273697
  Medicare reassignment Care Compare group
• Community Health Centers of Burlington Inc

  • Family Medicine Physician
  • Burlington, VT
  • NPI 1689678963
  Medicare reassignment NPD
• Community Health Centers of Burlington Inc

  dba Community Health Centers - Pharmacy

  • Community/Retail Pharmacy
  • South Burlington, VT
  • NPI 1659190924
  NPD
• Hoeppner Physical Therapy Limited Partnership

  • Physical Therapist
  • South Burlington, VT
  • NPI 1427162957
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1104947308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 RIVERSIDE AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011601",
            "telephone_number": "802-864-6309",
            "fax_number": "802-860-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 RIVERSIDE AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011601",
            "telephone_number": "802-864-6309",
            "fax_number": "802-860-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCY",
        "first_name": "LIANNA",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VT",
            "license": "055-0031090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Penn
• Robert A Penney, MD
• John Penoyar, MA
• Rebekah Taylor Pepin
• Robert Balam Percarpio, M.D.
• Paige Perkins
• Kelly E Perret, LCMHC
• Michelle L Perron, MD
• Perry and Slesnick, PC (1st Advantage Dental)
• Hannah Perry, M.D.

• Medical Physician Assistant in Burlington, VT
• Providers in Burlington, VT by specialty
• Medical Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.