Active NPI
Alison Jamie O'Connor, ARNP
- Nurse Practitioner
- Wells River, VT
National Provider Identifier
1194770263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1010021916
- Practice address
- 65 Main St N
Wells River, VT 05081-9692 - Phone
- (802) 757-2325
- NPI assigned
- May 24, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1010021916 | VT | Primary |
Addresses
Primary practice location
65 Main St N
Wells River, VT 05081-9692
Mailing address
PO Box 755
Wells River, VT 05081-0755
Phone (802) 757-2325
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30008764 | Medicaid | NH | |
| 1009439 | Medicaid | VT | |
| S18961 | Other | VT | UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Center | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1881623031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1194770263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 755",
"city": "WELLS RIVER",
"state": "VT",
"postal_code": "050810755",
"telephone_number": "802-757-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 MAIN ST N",
"city": "WELLS RIVER",
"state": "VT",
"postal_code": "050819692",
"telephone_number": "802-757-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "ALISON",
"middle_name": "JAMIE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VT",
"license": "1010021916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30008764",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009439",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "S18961",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wells River, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.