Individual provider Active NPI

Sarah Rani Tandan, N.P.

  • Family Nurse Practitioner
  • Burlington, VT
National Provider Identifier
1194144741
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0127573 Issued in VT
Practice address
617 Riverside Ave
Burlington, VT 05401
Phone
(802) 864-6309
Fax
(802) 860-4313
NPI assigned
Apr 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 101-0127573 VT
Family Nurse Practitioner 363LF0000X 101.0127573 VT Primary

Addresses

Primary practice location

617 Riverside Ave
Burlington, VT 05401

Mailing address

617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309

Other practice location 1

30 Northampton Street
Boston, MA 02118-4010
Phone (617) 433-9601

Other practice location 2

184 S Winooski Ave
Burlington, VT 05401-4535
Phone (802) 864-6309

Other practice location 3

789 Pine St
Burlington, VT 05401-4933
Phone (802) 864-0693

Other identifiers 1

IdentifierTypeStateIssuer
1030792MedicaidVT

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170810003299 VT Practitioner - Nurse Practitioner 9335360122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Vermont Medical Center IncGroup PAC ID 3779491071, 1,208 clinicians

Practice addresses (Care Compare)

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Rutland, VT, CCN 477019
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003
  • Porter Hospital Inc Hospital, Middlebury, VT, CCN 471307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
101-0127573VTMDNurse Practitioner
101.0127573VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc CurrentSince Sep 15, 2023 Accepting new patients

Locations

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
#1
Burlington, VT 05401

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

32 Malletts Bay Ave
Ste B
Winooski, VT 05404
Phone (802) 655-4422

Interoperability endpoints

  • Direct secure messaging: standan177555@direct.uvmhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1194144741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 RIVERSIDE AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011601",
            "telephone_number": "802-864-6309",
            "fax_number": "802-860-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 RIVERSIDE AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-864-6309",
            "fax_number": "802-860-4313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Northampton Street",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021184010",
            "country_code": "US",
            "telephone_number": "617-433-9601",
            "fax_number": "617-445-6538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "184 S Winooski Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054014535",
            "country_code": "US",
            "telephone_number": "802-864-6309",
            "fax_number": "802-860-4313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "789 Pine St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054014933",
            "country_code": "US",
            "telephone_number": "802-864-0693",
            "fax_number": "802-860-4313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANDAN",
        "first_name": "SARAH",
        "middle_name": "RANI",
        "name_prefix": "Miss",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101-0127573",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0127573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030792",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.