NPIMap

Organization Active NPI

Lamoille Health Partners, Inc

Doing business as Appleseed Pediatrics

  • Pediatrics Physician
  • Morrisville, VT
National Provider Identifier
1124436332
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LAMOILLE HEALTH PARTNERS, INC
Doing business as
Appleseed Pediatrics
Practice address
609 Washington Hwy
Morrisville, VT 05661-8652
Phone
(802) 888-7337
Fax
(802) 888-7398
NPI assigned
Jul 31, 2014
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LAMOILLE HEALTH PARTNERS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Stuart May
Title
President/Ceo
Phone
(802) 888-0901

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X VT Primary
Federally Qualified Health Center (FQHC) 261QF0400X 042-0012860 VT
Durable Medical Equipment & Medical Supplies 332B00000X VT

Addresses

Primary practice location

609 Washington Hwy
Morrisville, VT 05661-8652

Mailing address

PO Box 749
Morrisville, VT 05661-0749
Phone (802) 851-8619

Other identifiers 1

IdentifierTypeStateIssuer
1023806MedicaidVT

Other names 2

  • Appleseed Pediatrics Doing business as
  • Lamoille Health Pediatrics Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040216000714 VT Part B Supplier - Clinic/Group Practice 4789586942 Receives reassigned benefits from 42 practitioners
7 other NPIs on this enrollment
Practice locations: Cambridge, VT; Craftsbury, VT; Greensboro, VT; Hardwick, VT; Morrisville, VT; Stowe, VT
O20150304001893 VT Part A Provider - Federally Qualified Health Center (FQHC) 4789586942 Practice locations: Morrisville, VT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124436332. Details of each certification follow.

Federally qualified health center certification: CCN 471856

Legal name
LAMOILLE HEALTH PARTNERS INC
Doing business as
LAMOILLE HEALTH PEDIATRICS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 13, 2015
Last certification
Apr 13, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 3, 1997 in VT
Enrollment address
609 Washington Hwy
Morrisville, VT 56618652

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D2098078Lamoille Pediatrics609 Washington Hwy, Morrisville, VT 05661Certificate of waiverJun 29, 2027

National Provider Directory

National Provider Directory
Part of
Cop Prof SVC GRP Dba MF

Locations

272 N Main St
Unit 101
Cambridge, VT 05444
Phone (802) 644-5114

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDHBAA

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Peter G Anderson Individual Corporate OfficerBoard Member/Secretary Mar 21, 2016
Robert C Bauman Individual Corporate OfficerBoard Member Feb 26, 2025
Dave Yacovone Individual Corporate OfficerBoard Member Trustee Sep 28, 2020
Josh Smith Individual Corporate DirectorDirector/Officer Jun 25, 2018
Aaron French Individual Corporate OfficerBoard Member May 27, 2025
Scott Johnson Individual Corporate OfficerBoard Member Apr 28, 2025
Lance Broy Individual Corporate OfficerPresident/Ceo Nov 1, 2025
W-2 Managing EmployeePresident/Ceo Nov 1, 2025
Mary Paul Loomis Individual Corporate OfficerBoard Member Feb 1, 2015
Richard Westman Individual Corporate OfficerBoard Member Jan 24, 2022
Jennifer Stratton Individual Corporate OfficerBoard Member May 27, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1124436332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056610749",
            "telephone_number": "802-851-8619",
            "fax_number": "802-851-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618652",
            "telephone_number": "802-888-7337",
            "fax_number": "802-888-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMOILLE HEALTH PARTNERS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAMOILLE HEALTH PARTNERS, INC",
        "enumeration_date": "2014-07-31",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "802-888-0901"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VT",
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "VT",
            "license": "042-0012860",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023806",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appleseed Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lamoille Health Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morrisville, VT

Sources for this page

Verify at the official NPI Registry.