State of Vermont

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

STATE OF VERMONT

Practice address

108 Cherry St
Burlington, VT 05401-4295

Phone

(802) 863-7338

Fax

(802) 863-7635

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Patrick Burke

Title

Federal Programs Administrator

Phone

(802) 863-7257

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1164542361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054020070",
            "telephone_number": "802-863-7338",
            "fax_number": "802-863-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CHERRY ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014295",
            "telephone_number": "802-863-7338",
            "fax_number": "802-863-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF VERMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "FEDERAL PROGRAMS ADMINISTRATOR",
        "authorized_official_telephone_number": "802-863-7257"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005099",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002536",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Emery Stanhope
• Andrew Carl Stanley, MD
• Renee Doney Stapleton, MD, PHD
• Amy Starble
• Starr Farm Partnership
• Mary Kathryn Stattel, MS, BA
• Pedro Vinicius Staziaki, M.D.
• Emily L. a. Stebbins, MD
• Madeleine Steele, MS
• Heather Doyle Stein, M.D.

• State or Local Public Health Clinic/Center in Burlington, VT
• Providers in Burlington, VT by specialty
• State or Local Public Health Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.