Mary Pipes, RN
Individual provider Active NPI Registered Nurse · Fairfield, VT
NPI 1184470577 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1184470577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 0260020923 (VT)
- Practice address
- 1789 Barry Rd
Fairfield, VT 05455-5571 - Phone
- (802) 524-1107
- NPI assigned
- Apr 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0260020923 | VT | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0260020923 | VT | Yes |
Addresses
Primary practice location
1789 Barry Rd
Fairfield, VT 05455-5571
Mailing address
1789 Barry Rd
Fairfield, VT 05455-5571
Phone (802) 524-1107
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.