Active NPI
Joyce A Vitale, NP
- Nurse Practitioner
- St Johnsbury, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 101-0118554
- Practice address
- 714 Breezy Hill Rd
NVRH Kingdom Internal Medicine
St Johnsbury, VT 05819-8882 - Phone
- (802) 748-7500
- Fax
- (802) 745-1188
- NPI assigned
- Feb 28, 2006
- 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 | 177220 | MA | |
| Nurse Practitioner | 363L00000X | 101-0118554 | VT | Primary |
Addresses
Primary practice location
714 Breezy Hill Rd
NVRH Kingdom Internal Medicine
St Johnsbury, VT 05819-8882
Mailing address
PO Box 905
St Johnsbury, VT 05819-0905
Phone (802) 748-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3104465 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeastern Vermont Regional Hospital Inc
Practice addresses (Care Compare)
1315 Hospital Dr
Saint Johnsbury, VT 05819-9210
153 US Route 1
Scarborough, ME 04074-9052
Phone (207) 799-8596
195 Industrial Pkwy
Lyndonville, VT 05851-4511
Phone (802) 748-9501
714 Breezy Hill Rd
St Johnsbury, VT 05819-8882
Phone (802) 748-7500
PO Box
Saint Johnsbury, VT 05819-0905
Hospital & facility affiliations
- Northeastern Vermont Regional Hospital
- Mainehealth Maine Medical Center
- Mary Hitchcock Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177220 | MA | MD | Nurse Practitioner |
| 101-0118554 | VT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Vermont Regional Hospital Inc. | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Martin'S Point Health Care, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc. | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc | Current | Accepting new patients | |
| New Bedford Medical Associates PC | Past | Accepting new patients |
Locations
331 Veranda St
Portland, ME 04103
Phone (207) 774-5801
153 US Route 1
Scarborough, ME 04074
Phone (207) 799-8596
195 Industrial Pkwy
Lyndonville, VT 05851
1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638
714 Breezy Hill Rd
St Johnsbury, VT 05819
Phone (802) 748-5126
Interoperability endpoints
- https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
- joyce.vitale.1@5857.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Portland, ME
- NPI 1366474611
Nurse Practitioner
-
- Rural Health Clinic/Center
- St Johnsbury, VT
- NPI 1871870899
-
- Primary Care Clinic/Center
- Lyndonville, VT
- NPI 1659459428
-
- Specialist
- St Johnsbury, VT
- NPI 1760773774
-
- Podiatrist
- St Johnsbury, VT
- NPI 1710631635
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1013430511
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1326081811
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1548202690
-
- Multi-Specialty Clinic/Center
- Fairhaven, MA
- NPI 1093783417
Hospital & facility affiliations 41
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Primary Care Clinic/Center
- Lyndonville, VT
- NPI 1659459428
Hospital
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1275576704
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1154397206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 905",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058190905",
"telephone_number": "802-748-7500",
"fax_number": "802-745-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 BREEZY HILL RD",
"address_2": "NVRH KINGDOM INTERNAL MEDICINE",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058198882",
"telephone_number": "802-748-7500",
"fax_number": "802-745-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITALE",
"first_name": "JOYCE",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "177220",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VT",
"license": "101-0118554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3104465",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Johnsbury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.