Active NPI
Sally J Beayon, FNP-C
- Family Medicine Physician
- Bomoseen, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 101.0134375
- Practice address
- 275 Route 30 N
Bomoseen, VT 05732-9647 - Phone
- (802) 468-5641
- NPI assigned
- Jul 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Nurse Practitioner | 363LX0106X | 101.0134375 | VT | |
| Family Medicine Physician | 207Q00000X | 101.0134375 | VT | Primary |
Addresses
Primary practice location
275 Route 30 N
Bomoseen, VT 05732-9647
Mailing address
97 Freeman HL
Pittsford, VT 05763-9575
Phone (802) 483-0031
Other practice location 1
278 Vt Route 149
West Pawlet, VT 05775-9798
Phone (802) 645-0580
Other practice location 2
1 General Wing Rd
Rutland, VT 05701-4681
Phone (802) 773-1551
Other practice location 3
420 Grove St
Brandon, VT 05733-9062
Phone (802) 247-6305
Other practice location 4
71 Allen St Ste 403
Rutland, VT 05701-4570
Phone (802) 772-7992
Other practice location 5
2987 Vt Route 22A
Shoreham, VT 05770-9728
Phone (802) 897-7000
Other practice location 6
215 Stratton Rd
Rutland, VT 05701-4621
Phone (802) 773-3386
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191003002431 | VT | Practitioner - Nurse Practitioner | 3870824998 | Reassigns benefits to 6 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Rutland Region, Inc. | Family Medicine | Current | Accepting new patients |
| Community Health Centers of the Rutland Region, Inc. | Family Medicine | Current | Accepting new patients |
| Marble Valley Healthworks, LLC | Family Medicine | Current | Accepting new patients |
| Community Health Centers of the Rutland Region, Inc. | Family Medicine | Current | Accepting new patients |
| Community Health Centers of the Rutland Region, Inc. | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc. | Family Medicine | Current | Accepting new patients |
| Community Health Centers of the Rutland Region Inc | Family Medicine | Current | Accepting new patients |
| Community Health Centers of the Rutland Region Inc | Family Medicine | Current | Accepting new patients |
Locations
275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641
420 Grove St
Brandon, VT 05733
Phone (802) 247-6305
1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131
215 Stratton Rd
Rutland, VT 05701
Phone (802) 773-3386
71 Allen St
Ste 403
Rutland, VT 05701
Phone (802) 772-4414
8 Commons St
Rutland, VT 05701
Phone (802) 770-1805
71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118
2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000
278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118
Interoperability endpoints
- sbeayon@chcrr.medentdirect.com
- https://fhir-myrecord.cerner.com/r4/zA015PZlU6y4mS2M66rhwFskWFFyp2EA/
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1467681114
Family Medicine, VT
-
- Family Medicine Physician
- Brandon, VT
- NPI 1073567590
Family Medicine, VT
-
- Family Medicine Physician
- West Pawlet, VT
- NPI 1104870922
Family Medicine, VT
-
- Federally Qualified Health Center (FQHC)
- Bomoseen, VT
- NPI 1336193838
Family Medicine, VT
-
- Pediatrics Physician
- Rutland, VT
- NPI 1780969345
VT
-
- Family Medicine Physician
- Rutland, VT
- NPI 1801394895
Family Medicine, VT
-
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1518613215
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1225400237
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Shoreham, VT
- NPI 1811241094
-
- Dentist
- Rutland, VT
- NPI 1437364759
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- White River Junction, VT
- NPI 1063963148
-
- Home Health Agency
- Williston, VT
- NPI 1114229937
-
- Home Health Agency
- Rutland, VT
- NPI 1861794687
-
- Home Health Agency
- Brattleboro, VT
- NPI 1891097614
-
- Home Health Agency
- Rutland, VT
- NPI 1407856800
-
- Public Health or Welfare Agency
- Rutland, VT
- NPI 1578743621
Home health agency
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Centers of the Rutland Region Inc
Practice addresses (Care Compare)
215 Stratton Rd
Rutland, VT 05701-4621
Phone (802) 773-3386
275 Route 30 N
Bomoseen, VT 05732-9647
Phone (802) 468-5641
Hospital & facility affiliations
- Vna & Hospice of the Southwest Region, Inc.
- Bayada Home Health Care, Inc.
- Rutland Regional Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1124672340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 FREEMAN HL",
"city": "PITTSFORD",
"state": "VT",
"postal_code": "057639575",
"telephone_number": "802-483-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 ROUTE 30 N",
"city": "BOMOSEEN",
"state": "VT",
"postal_code": "057329647",
"telephone_number": "802-468-5641"
}
],
"practiceLocations": [
{
"address_1": "278 Vt Route 149",
"address_purpose": "LOCATION",
"city": "West Pawlet",
"state": "VT",
"postal_code": "057759798",
"country_code": "US",
"telephone_number": "802-645-0580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 General Wing Rd",
"address_purpose": "LOCATION",
"city": "Rutland",
"state": "VT",
"postal_code": "057014681",
"country_code": "US",
"telephone_number": "802-773-1551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "420 Grove St",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "VT",
"postal_code": "057339062",
"country_code": "US",
"telephone_number": "802-247-6305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "71 Allen St Ste 403",
"address_purpose": "LOCATION",
"city": "Rutland",
"state": "VT",
"postal_code": "057014570",
"country_code": "US",
"telephone_number": "802-772-7992",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2987 Vt Route 22A",
"address_purpose": "LOCATION",
"city": "Shoreham",
"state": "VT",
"postal_code": "057709728",
"country_code": "US",
"telephone_number": "802-897-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "215 Stratton Rd",
"address_purpose": "LOCATION",
"city": "Rutland",
"state": "VT",
"postal_code": "057014621",
"country_code": "US",
"telephone_number": "802-773-3386",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAYON",
"first_name": "SALLY",
"middle_name": "J",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-25",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "VT",
"license": "101.0134375",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VT",
"license": "101.0134375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bomoseen, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.