Bearmt Newport, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEARMT NEWPORT, LLC

Practice address

148 Prouty Dr
Newport, VT 05855-9513

Phone

(802) 334-7321

NPI assigned

Nov 2, 2018

Organization subpart

Yes

Parent organization

BEAR MOUNTAIN HEALTHCARE, LLCAs reported in NPPES

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

Authorized official

Name

John Wynne

Title

Cfo

Phone

(203) 904-7462

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1174091664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 PROUTY DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 PROUTY DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559513",
            "telephone_number": "802-334-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEARMT NEWPORT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEAR MOUNTAIN HEALTHCARE, LLC",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "203-904-7462"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Bannach, M.D.
• Amy Barrup, PT
• Rebecca Jane Basiliere, PT
• Megan Harris Batchelder, M.D.
• Allyson Ann Bathalon
• Sandra K Bedell, LADC
• Audrie Elaine Benjamin
• Jennifer Elaine Benjamin, BA
• Brittany M Benoit, PTA
• Katherine Anne Berger-Lucque

• All providers in Newport, VT
• Skilled Nursing Facility in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.