Individual provider Active NPI

William R. Cote

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • St Johnsbury, VT
National Provider Identifier
1235120163
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
1010012280 Issued in VT
Practice address
2225 Portland St
St Johnsbury, VT 05819-8635
Phone
(802) 748-3181
Fax
(802) 748-0704
NPI assigned
Oct 31, 2005
Last updated
Jun 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 1010012280 VT Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 003 VT

Addresses

Primary practice location

2225 Portland St
St Johnsbury, VT 05819-8635

Mailing address

416 Center St.
PO Box 332
Lyndon Center, VT 05850-0332
Phone (802) 626-8157

Other identifiers 1

IdentifierTypeStateIssuer
NP0512MedicaidVT

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
I20050630000227 VT Practitioner - Nurse Practitioner 4284670233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Kingdom Human Services IncGroup PAC ID 0941276703, 17 clinicians

Practice addresses (Care Compare)

2225 Portland St
Saint Johnsbury, VT 05819-8635
Phone (802) 748-3181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003VTMDAddiction (Substance Use Disorder) Counselor
1010012280VTMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1235120163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CENTER ST.",
            "address_2": "PO BOX 332",
            "city": "LYNDON CENTER",
            "state": "VT",
            "postal_code": "058500332",
            "telephone_number": "802-626-8157",
            "fax_number": "802-626-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PORTLAND ST",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058198635",
            "telephone_number": "802-748-3181",
            "fax_number": "802-748-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTE",
        "first_name": "WILLIAM",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "VT",
            "license": "1010012280",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0512",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

Verify at the official NPI Registry.