Catherine W Maina, APRN
Individual provider Active NPI Family Nurse Practitioner · South Burlington, VT
NPI 1235525940 · NPPES record last updated Jan 13, 2020
Key facts
- NPI
- 1235525940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 101-0109814 (VT)
- Practice address
- 3 Timber Lane
Uvmhn Timber Lane Family Practice
South Burlington, VT 05403 - Phone
- (802) 847-8500
- Fax
- (802) 334-3512
- NPI assigned
- Apr 9, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Vermont Medical Center Inc
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Hospital & facility affiliations
- Univ. of Vermont - Fletcher Allen Health Care
- Porter Hospital Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150701000661 | VT | Practitioner - Nurse Practitioner | 5092027227 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101-0109814 | VT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Current |
Accepting new patients | |
| Fletcher Allen Health Care Inc | Past |
Accepting new patients |
Locations
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
189 Prouty Dr
Newport, VT 05855
Phone (802) 334-3569
3 Timber Ln
South Burlington, VT 05403
Phone (802) 847-3339
Interoperability endpoints
- cmaina8326@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 101-0109814 | VT | Yes |
Addresses
Primary practice location
3 Timber Lane
Uvmhn Timber Lane Family Practice
South Burlington, VT 05403
Mailing address
PO Box 1150
C/O Uvmhn E Elkins
Burlington, VT 05402-1150
Phone (802) 847-1882
Other names
- Catherine W Lawrence
NPI Registry JSON
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1235525940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1150",
"address_2": "C/O UVMHN E ELKINS",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054021150",
"telephone_number": "802-847-1882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 TIMBER LANE",
"address_2": "UVMHN TIMBER LANE FAMILY PRACTICE",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "05403",
"telephone_number": "802-847-8500",
"fax_number": "802-334-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINA",
"first_name": "CATHERINE",
"middle_name": "W",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VT",
"license": "101-0109814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "LAWRENCE",
"middle_name": "W",
"credential": "APRN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in South Burlington, VT
- Leah Mariette Macaulay
- Mali Macconnell
- Allison Catherine Mack
- Patrick Joseph Mahoney
- Theron John Main
- Maitri Health Care for Women PC
- Kimberly Maki
- Kellie Michele Malaney
- Megan Pearl Malgeri
- Jonathan Manhard
All providers in South Burlington, VT · Family Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.