Individual provider Active NPI

Tristin Adie, FNP

  • Family Nurse Practitioner
  • Fairfax, VT
National Provider Identifier
1124347620
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0066152 Issued in VT
Practice address
4178 Highbridge Rd
Fairfax, VT 05454-5446
Phone
(802) 528-2600
NPI assigned
May 24, 2010
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 101.0066152 VT
Family Nurse Practitioner 363LF0000X 101.0066152 VT Primary

Addresses

Primary practice location

4178 Highbridge Rd
Fairfax, VT 05454-5446

Mailing address

152 Home Ave
Burlington, VT 05401-5046
Phone (802) 598-3592

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110527000053 VT Practitioner - Nurse Practitioner 3173700218 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Richford Health Center Inc Current Accepting new patients
The Richford Health Center Inc CurrentSince Feb 24, 2022 Accepting new patients
The Richford Health Center Inc CurrentSince Feb 24, 2022 Accepting new patients
Fletcher Allen Health Care Inc Past Accepting new patients

Locations

4178 Highbridge Rd
Fairfax, VT 05454
Phone (802) 524-9595

44 Main St
Ste 200
Richford, VT 05476
Phone (802) 255-5500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1124347620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 HOME AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015046",
            "telephone_number": "802-598-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4178 HIGHBRIDGE RD",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054545446",
            "telephone_number": "802-528-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIE",
        "first_name": "TRISTIN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VT",
            "license": "101.0066152",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0066152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VT

Sources for this page

Verify at the official NPI Registry.