Northeast Kingdom Healthcare Collaborative, LLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

NORTHEAST KINGDOM HEALTHCARE COLLABORATIVE, LLC

Practice address

468 Hospital Drive
St Johnsbury, VT 05819

Phone

(802) 748-7901

Fax

(802) 427-3047

NPI assigned

Aug 17, 2011

Last updated

Sep 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah L Brown

Title

Enrollment Specialist

Phone

(802) 487-2589

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• North Country Hospital & Health Center Inc

  dba North Country Orthopaedic

  • Orthopaedic Surgery Physician
  • Newport, VT
  • NPI 1578592606

  Member Of

  NPD member
• Northeastern Vermont Regional Hospital, Inc

  dba NVRH Orthopedic Group

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1326081811

  Member Of

  NPD member

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Weili Gray, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Newport, VT
  • NPI 1083840813
  Medicare reassignment Care Compare group NPD
• Patrick Heaney, PA/C

  • Medical Physician Assistant
  • Newport, VT
  • NPI 1174626089
  Medicare reassignment Care Compare group NPD
• Lori L. Koshowski, CRNP

  • Nurse Practitioner
  • St Johnsbury, VT
  • NPI 1811142144
  Medicare reassignment Care Compare group NPD
• Arthur D Alsobrook, JR., M.D.

  • Emergency Medicine Physician
  • Newport, VT
  • NPI 1073624946
  Medicare reassignment NPD
• Veronika Jedlovszky, MD

  • Pulmonary Disease Physician
  • Rutland, VT
  • NPI 1760592083

  Sleep Medicine

  Medicare reassignment NPD
• Danielle L Speer, NP

  • Adult Health Nurse Practitioner
  • Newport, VT
  • NPI 1003949926
  Medicare reassignment NPD

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1215217641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MEDICAL VILLAGE DR, SUITE 1",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "05855",
            "telephone_number": "802-487-2589",
            "fax_number": "802-334-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 HOSPITAL DRIVE",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "05819",
            "telephone_number": "802-748-7901",
            "fax_number": "802-427-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST KINGDOM HEALTHCARE COLLABORATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "802-487-2589"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen G Nolker, MD
• Robert Michael Norris, LICSW
• North Country Chiropractic Center PLLC
• North East Kingdom Community Action, Inc.
• Northeast Kingdom Council on Aging
• Northeast Kingdom Occupational Therapy
• Northeast Kingdom Trauma Intensives
• Northeastern Vermont Regional Hospial
• Northeastern Vermont Regional Hospital
• Northeastern Vermont Regional Hospital Dietary Clinic

• Sleep Medicine (Internal Medicine) Physician in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Sleep Medicine (Internal Medicine) Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.