NPIMap

Organization Active NPI

State of Vermont Disability Determination Services

  • Public Health or Welfare Agency
  • Waterbury, VT
National Provider Identifier
1255673109
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
STATE OF VERMONT DISABILITY DETERMINATION SERVICES
Practice address
93 Pilgrim Park Rd
Suite 6
Waterbury, VT 05676-1727
Phone
(802) 241-2463
Fax
(802) 241-2492
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Trudy Lyon-Hart
Title
Director
Phone
(802) 241-2463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

93 Pilgrim Park Rd
Suite 6
Waterbury, VT 05676-1727

Mailing address

93 Pilgrim Park Rd
Suite 6
Waterbury, VT 05676-1727
Phone (802) 241-2463

National Provider Directory

National Provider Directory
Tax ID family
State of Vermont Disability Determination Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

93 Pilgrim Park Rd
Ste 6
Waterbury, VT 05676
Phone (802) 241-1141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1255673109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 PILGRIM PARK RD",
            "address_2": "SUITE 6",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761727",
            "telephone_number": "802-241-2463",
            "fax_number": "802-241-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 PILGRIM PARK RD",
            "address_2": "SUITE 6",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761727",
            "telephone_number": "802-241-2463",
            "fax_number": "802-241-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF VERMONT DISABILITY DETERMINATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "LYON-HART",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "802-241-2463"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.