Active NPI
Nicole L. Stone, CRNA
- Certified Registered Nurse Anesthetist
- Middlebury, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1010034989
- Practice address
- 115 Porter Dr
Middlebury, VT 05753-8423 - Phone
- (802) 388-4701
- Fax
- (802) 388-4799
- NPI assigned
- May 14, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1010034989 | VT | Primary |
Addresses
Primary practice location
115 Porter Dr
Middlebury, VT 05753-8423
Mailing address
115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
133 Fairfield St
Saint Albans, VT 05478-1726
Phone (802) 524-2911
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1010034989 | VT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Colleagues LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
Nurse Anesthetist, Certified Registered, VT
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medical Center
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1386689875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184839045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 PORTER DR",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057538423",
"telephone_number": "802-388-4701",
"fax_number": "802-388-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 PORTER DR",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057538423",
"telephone_number": "802-388-4701",
"fax_number": "802-388-4799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "NICOLE",
"middle_name": "L.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VT",
"license": "1010034989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middlebury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.