Individual provider Active NPI

Dorothy Chiaravalle, FNP

  • Family Nurse Practitioner
  • Brattleboro, VT
National Provider Identifier
1114499738
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0136453 Issued in VT
Practice address
19 Belmont Ave Ste 103
Brattleboro, VT 05301-6761
Phone
(802) 258-3905
NPI assigned
Dec 20, 2018
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 345985 NY
Family Nurse Practitioner 363LF0000X 101.0136453 VT Primary
Oncology Registered Nurse 163WX0200X 602449 NY

Addresses

Primary practice location

19 Belmont Ave Ste 103
Brattleboro, VT 05301-6761

Mailing address

600 Blair Park Rd Ste 285
Williston, VT 05495-7855
Phone (802) 228-1140

Other practice location 1

50 New Scotland Ave Fl 3
Albany, NY 12208-3403
Phone (518) 262-5864

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dchiaravalle@pchpmd.medentdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210218000822 NY Practitioner - Nurse Practitioner 8820403173 Reassigns benefits to 1 organization
I20230815001034 VT Practitioner - Nurse Practitioner 8820403173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Health Partners - Vermont LLPGroup PAC ID 7810896032, 21 clinicians

Practice addresses (Care Compare)

19 Belmont Ave
Suite 103
Brattleboro, VT 05301-6761
Phone (802) 258-3905

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
602449NYMDOncology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Health Partners - New York LLP CurrentSince Dec 10, 2023 Accepting new patients
Primary Care Health Partners - Vermont LLP CurrentSince Sep 1, 2023 Accepting new patients
Ellis Hospital CurrentSince Jan 1, 2021 Accepting new patients
Primary Care Health Partners PastSince Dec 6, 2022 Accepting new patients
Primary Care Health Partners Past Accepting new patients

Locations

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

19 Belmont Ave
Ste 103
Brattleboro, VT 05301
Phone (802) 257-1444

51 Timber Ln
South Burlington, VT 05403
Phone (802) 864-0521

600 Blair Park Rd
Ste 285
Williston, VT 05495
Phone (802) 288-1140

Interoperability endpoints

  • Direct secure messaging: dchiaravalle@pchpmd.medentdirect.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": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1114499738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLAIR PARK RD STE 285",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957855",
            "telephone_number": "802-228-1140",
            "fax_number": "802-288-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BELMONT AVE STE 103",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016761",
            "telephone_number": "802-258-3905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 New Scotland Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083403",
            "country_code": "US",
            "telephone_number": "518-262-5864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIARAVALLE",
        "first_name": "DOROTHY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345985",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0136453",
            "primary": true
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "NY",
            "license": "602449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dchiaravalle@pchpmd.medentdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21 Belmont Ave",
            "city": "Brattleboro",
            "state": "VT",
            "country_code": "US",
            "postal_code": "053017110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.