Active NPI
Adrienne Rulon
- Dentist
- Hardwick, VT
National Provider Identifier
1184947855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0160064345
- Practice address
- 151 North Main Street
Hardwick, VT 05843-0537 - Phone
- (802) 472-2260
- Fax
- (802) 472-2263
- NPI assigned
- Mar 9, 2010
- Last updated
- Feb 13, 2012
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0160064345 | VT | Primary |
Addresses
Primary practice location
151 North Main Street
Hardwick, VT 05843-0537
Mailing address
165 Sherman Dr
St Johnsbury, VT 05819-9811
Phone (802) 748-9405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1017395 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160601001824 | VT | Order and Referring Only - Other (Physician) | 6305136474 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0160064345 | VT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Counties Health Care, Inc. | Past | Accepting new patients | |
| Northern Counties Health Care, Inc. | Past | Accepting new patients | |
| Northern Counties Health Care | Past | Accepting new patients |
Interoperability endpoints
- adrienne.rulon.1@28542.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Nurse Practitioner
- St Johnsbury, VT
- NPI 1609966944
-
dba Northern Express Care Newport
- Federally Qualified Health Center (FQHC)
- Newport, VT
- NPI 1003564931
-
dba Northern Counties Dental Center
- Dental Clinic/Center
- Hardwick, VT
- NPI 1114044344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329091200000",
"number": "1184947855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 SHERMAN DR",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058199811",
"telephone_number": "802-748-9405",
"fax_number": "802-748-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 NORTH MAIN STREET",
"city": "HARDWICK",
"state": "VT",
"postal_code": "058430537",
"telephone_number": "802-472-2260",
"fax_number": "802-472-2263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RULON",
"first_name": "ADRIENNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2012-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VT",
"license": "0160064345",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1017395",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hardwick, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.