Individual provider Active NPI

Leah Mariette Macaulay, P.N.P

  • Psychiatric/Mental Health Nurse Practitioner
  • South Burlington, VT
National Provider Identifier
1124357215
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
101.0060740 Issued in VT
Practice address
595 Dorset St Ste 4
South Burlington, VT 05403-6240
Phone
(802) 489-5552
NPI assigned
Dec 18, 2009
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 101.0060740 VT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101.0060740 VT Primary

Addresses

Primary practice location

595 Dorset St Ste 4
South Burlington, VT 05403-6240

Mailing address

600 Blair Park Rd Ste 285
Williston, VT 05495-7586
Phone (802) 288-1140

Other names 1

  • Leah Mariette Porter Former name

Electronic endpoints 1

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

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
I20181015002574 VT Practitioner - Nurse Practitioner 0446502710 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Health Partners - New York LLP CurrentSince Jul 2, 2023 Accepting new patients
Primary Care Health Partners - Vermont LLP Psychiatric/Mental Health CurrentSince Sep 17, 2018 Accepting new patients
Primary Care Health Partners Past Accepting new patients

Locations

1127 North Ave
Ste 1
Burlington, VT 05408
Phone (802) 846-8100

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

595 Dorset St
Ste 4
South Burlington, VT 05403
Phone (802) 343-0901

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

66 Knight Ln
Ste 10
Williston, VT 05495
Phone (802) 872-4327

Interoperability endpoints

  • Direct secure messaging: lmacaulay@pchpmd.medentdirect.com

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": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1124357215",
    "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": "054957586",
            "telephone_number": "802-288-1140",
            "fax_number": "802-288-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 DORSET ST STE 4",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036240",
            "telephone_number": "802-489-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAULAY",
        "first_name": "LEAH",
        "middle_name": "MARIETTE",
        "credential": "P.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101.0060740",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0060740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmacaulay@pchpmd.medentdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "51 Timber Ln",
            "city": "South Burlington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "05403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "PORTER",
            "middle_name": "MARIETTE",
            "credential": "P.N.P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.