Marilyn T McDonald, A.P.R.N.

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

101-0019819 Issued in VT

Practice address

9 Haywood Ave
Mountain View Center
Rutland, VT 05701-4832

Phone

(802) 775-0007

Fax

(802) 775-6895

NPI assigned

Feb 20, 2006

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114992518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 TOWN LINE RD",
            "city": "MENDON",
            "state": "VT",
            "postal_code": "057019635",
            "telephone_number": "802-775-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HAYWOOD AVE",
            "address_2": "MOUNTAIN VIEW CENTER",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014832",
            "telephone_number": "802-775-0007",
            "fax_number": "802-775-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MARILYN",
        "middle_name": "T",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VT",
            "license": "101-0019819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0NP0905",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Edward McCormick, M.D.
• Karissa McCoy, ATC
• James McCuen
• Victoria McCuen
• Alison McDelan, PA-C
• William J McDonald, DMD
• Cindy M McDonough, NP
• Larissa McDonough, BCBA
• Mary Graham McDowell, MS, BCBA
• Paula McGarry, RN

• Gerontology Nurse Practitioner in Rutland, VT
• Providers in Rutland, VT by specialty
• Gerontology Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.