Active NPI
Laurie M Davignon, CPNP
- Nurse Practitioner
- South Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 101-0134749
- Practice address
- 62 Tilley Dr Ste 202
South Burlington, VT 05403-4407 - Phone
- (802) 847-4576
- NPI assigned
- Apr 12, 2007
- Last updated
- May 18, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 233795 | MA | |
| Nurse Practitioner | 363L00000X | 101-0134749 | VT | Primary |
Addresses
Primary practice location
62 Tilley Dr Ste 202
South Burlington, VT 05403-4407
Mailing address
535 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991
Other practice location 1
35 Pearl St
Suite 300
Brockton, MA 02301-2866
Phone (508) 584-6300
Other practice location 2
535 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
62 Tilley Dr
Suite 201
South Burlington, VT 05403-4407
Phone (802) 847-3737
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233795 | MA | MD | Nurse Practitioner |
| 101-0134749 | VT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| Hawthorn Medical Associates, LLC | Nurse Practitioner | Past | Accepting new patients |
| Fletcher Allen Health Care Inc | Past | Accepting new patients |
Locations
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
62 Tilley Dr
Ste 201
South Burlington, VT 05403
Phone (802) 847-3737
62 Tilley Dr
Ste 202
South Burlington, VT 05403
Phone (802) 847-4576
Interoperability endpoints
- ldavignon418833@direct.uvmhealth.org
Organizations & group practices 3
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.
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
- Radiation Oncology Physician
- Burlington, VT
- NPI 1619266624
-
- Adult Health Nurse Practitioner
- North Dartmouth, MA
- NPI 1508825811
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1134343239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 FAUNCE CORNER RD",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027471242",
"telephone_number": "508-996-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 TILLEY DR STE 202",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054034407",
"telephone_number": "802-847-4576"
}
],
"practiceLocations": [
{
"address_1": "35 Pearl St",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023012866",
"country_code": "US",
"telephone_number": "508-584-6300",
"fax_number": "508-580-4664",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "535 Faunce Corner Rd",
"address_purpose": "LOCATION",
"city": "Dartmouth",
"state": "MA",
"postal_code": "027471242",
"country_code": "US",
"telephone_number": "508-996-3991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIGNON",
"first_name": "LAURIE",
"middle_name": "M",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "233795",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VT",
"license": "101-0134749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.