Individual provider Active NPI

Deborah L Jones, RN FNP AACRN

  • Family Nurse Practitioner
  • Brattleboro, VT
National Provider Identifier
1215951090
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101-0027288 Issued in VT
Practice address
17 Belmont Ave
Att'N: Marilyn Boudreau
Brattleboro, VT 05301-6613
Phone
(802) 257-8382
Fax
(802) 251-8466
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101-0027288 VT Primary

Addresses

Primary practice location

17 Belmont Ave
Att'N: Marilyn Boudreau
Brattleboro, VT 05301-6613

Mailing address

17 Belmont Ave
Att'N: Marilyn Boudreau
Brattleboro, VT 05301-6613
Phone (802) 257-8382

Other identifiers 1

IdentifierTypeStateIssuer
1009415MedicaidVT

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
101-0027288VTMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215951090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BELMONT AVE",
            "address_2": "ATT'N: MARILYN BOUDREAU",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016613",
            "telephone_number": "802-257-8382",
            "fax_number": "802-251-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BELMONT AVE",
            "address_2": "ATT'N: MARILYN BOUDREAU",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016613",
            "telephone_number": "802-257-8382",
            "fax_number": "802-251-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "RN FNP AACRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101-0027288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009415",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.