Individual provider Active NPI

Haley Jo Tetreault, DNP, FNP-C

  • Family Nurse Practitioner
  • Enosburg Falls, VT
National Provider Identifier
1134055981
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0139517 Issued in VT
Practice address
84 Water Tower Rd Ste 1
Enosburg Falls, VT 05450-6097
Phone
(802) 933-6664
NPI assigned
Jun 19, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101.0139517 VT Primary

Addresses

Primary practice location

84 Water Tower Rd Ste 1
Enosburg Falls, VT 05450-6097

Mailing address

84 Water Tower Rd Ste 1
Enosburg Falls, VT 05450-6097
Phone (802) 933-6664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1134055981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 WATER TOWER RD STE 1",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "054506097",
            "telephone_number": "802-933-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 WATER TOWER RD STE 1",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "054506097",
            "telephone_number": "802-933-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETREAULT",
        "first_name": "HALEY",
        "middle_name": "JO",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0139517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enosburg Falls, VT

Sources for this page

Verify at the official NPI Registry.