Active NPI
Jenna E Purdell, APRN
- Family Nurse Practitioner
- Saint Albans, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 101.0080154
- Practice address
- 596 Sheldon Rd
Saint Albans, VT 05478-8011 - Phone
- (802) 524-6534
- NPI assigned
- Jul 28, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 101.0080154 | VT | Primary |
| Family Nurse Practitioner | 363LF0000X | 004988 | CT |
Addresses
Primary practice location
596 Sheldon Rd
Saint Albans, VT 05478-8011
Mailing address
PO Box 42738
Towson, MD 21284-2738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4988 | CT | MD | Periodontist |
| 004988 | CT | MD | Speech-Language Pathologist |
| 101.0080154 | VT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Center, Inc. | Current | Accepting new patients | |
| Northwestern Medical Center, Inc | Current | Accepting new patients | |
| Northwestern Medical Center Inc | Current | Accepting new patients | |
| Alignmed Partners, PC | Current | Accepting new patients | |
| Northwestern Medical Center, Inc. | Current | Accepting new patients | |
| The Richford Health Center Inc | Past | Accepting new patients |
Locations
1 Emerson Dr
Windsor, CT 06095
Phone (860) 688-6443
927 Ethan Allen Hwy
Unit 2
Milton, VT 05468
Phone (802) 524-8911
9 Haywood Ave
Rutland, VT 05701
Phone (802) 747-6433
3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554
133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227
596 Sheldon Rd
Saint Albans, VT 05478
Phone (802) 524-6534
260 Crest Rd
Ste 101
Saint Albans, VT 05478
Phone (802) 524-1223
133 Fairfield St
Ste 101
Saint Albans, VT 05478
Phone (802) 524-1232
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1538293469
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1720112659
-
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
VT
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1538442199
-
- Pediatrics Physician
- Saint Albans, VT
- NPI 1003574740
-
- Family Medicine Physician
- Alburg, VT
- NPI 1407843543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1184902967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42738",
"city": "TOWSON",
"state": "MD",
"postal_code": "212842738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "596 SHELDON RD",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054788011",
"telephone_number": "802-524-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDELL",
"first_name": "JENNA",
"middle_name": "E",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-28",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VT",
"license": "101.0080154",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "004988",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.