Organization Active NPI

Wellmind Vermont, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rutland, VT
National Provider Identifier
1144080326
Registry record updated Mar 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WELLMIND VERMONT, PLLC
Practice address
186 State St
Rutland, VT 05701-2752
Phone
(802) 417-2039
Fax
(802) 209-8870
NPI assigned
Mar 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2024

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

Authorized official

Name
Mr. Michael Edward Lawrie Jr., APRNNPI 1184392961
Title
Owner-Member
Phone
(802) 417-2039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

186 State St
Rutland, VT 05701-2752

Mailing address

186 State St
Rutland, VT 05701-2752
Phone (802) 417-2039

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711756800000",
    "number": "1144080326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 STATE ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012752",
            "telephone_number": "802-417-2039",
            "fax_number": "802-209-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 STATE ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012752",
            "telephone_number": "802-417-2039",
            "fax_number": "802-209-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMIND VERMONT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-30",
        "certification_date": "2024-03-30",
        "status": "A",
        "authorized_official_last_name": "LAWRIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER-MEMBER",
        "authorized_official_telephone_number": "802-417-2039",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.