Individual provider Active NPI

Emily Ruth Gates Olson, CNM

  • Advanced Practice Midwife
  • South Burlington, VT
National Provider Identifier
1164060646
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
101.0135342 Issued in VT
Practice address
185 Tilley Dr Ste 57
South Burlington, VT 05403-4484
Phone
(802) 862-7338
NPI assigned
Dec 16, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218000776 VT Practitioner - Certified Nurse Midwife (CNM) 5294159521 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
201808252RNORMDInpatient Obstetric Registered Nurse
26.0149646VTMDInpatient Obstetric Registered Nurse
202005909NP-PPORMDAdvanced Practice Midwife
101.0135342VTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Feb 10, 2025 Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Feb 10, 2025 Accepting new patients
Back and Neck Center CurrentSince Sep 20, 2022 Accepting new patients
Maitri Health Care for Women PC CurrentSince Sep 20, 2022 Accepting new patients
University of Vermont Medical Center Inc Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

185 Tilley Dr
South Burlington, VT 05403
Phone (802) 862-7338

185 Tilley Dr
Ste 57
South Burlington, VT 05403
Phone (802) 233-6692

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACAHCA

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 202005909NP-PP OR
Advanced Practice Midwife 367A00000X 101.0135342 VT Primary
Inpatient Obstetric Registered Nurse 163WX0003X 26.0149646 VT
Inpatient Obstetric Registered Nurse 163WX0003X 201808252RN OR

Addresses

NPPES NPI Registry

Primary practice location

185 Tilley Dr Ste 57
South Burlington, VT 05403-4484

Mailing address

185 Tilley Dr Ste 57
South Burlington, VT 05403-4484

Other practice location 1

115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4430

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2026.

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1164060646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 TILLEY DR STE 57",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 TILLEY DR STE 57",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034484",
            "telephone_number": "802-862-7338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Porter Dr",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "VT",
            "postal_code": "057538423",
            "country_code": "US",
            "telephone_number": "802-388-4430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "EMILY",
        "middle_name": "RUTH GATES",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "202005909NP-PP",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VT",
            "license": "101.0135342",
            "primary": true
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "VT",
            "license": "26.0149646",
            "primary": false
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "OR",
            "license": "201808252RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.