Individual provider Active NPI

Sara Clafferty Headley

  • Nurse Practitioner
  • Waterbury, VT
National Provider Identifier
1265858245
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012391 Issued in CA
Practice address
6 N Main St
Waterbury, VT 05676-1839
Phone
(802) 882-6468
Fax
(802) 627-8013
NPI assigned
Mar 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 833753 CA
Nurse Practitioner 363L00000X 95012391 CA Primary

Addresses

Primary practice location

6 N Main St
Waterbury, VT 05676-1839

Mailing address

6 N Main St
Waterbury, VT 05676-1839
Phone (802) 882-6468

Other names 1

  • Ms. Sara Kathleen Clafferty Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sara.headley@911284825882628.direct.elationemr.com Direct

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
I20220823000438 VT Practitioner - Nurse Practitioner 4082097134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6 N Main St
Waterbury, VT 05676-1839
Phone (802) 882-6468

Hospital & facility affiliations

  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003
  • Central Vermont Medical Center Hospital, Barre, VT, CCN 470001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
833753CAMDRegistered Nurse
95012391CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mint Medical, PLLC CurrentSince May 8, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sara.headley@911284825882628.direct.elationemr.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1265858245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N MAIN ST",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761839",
            "telephone_number": "802-882-6468",
            "fax_number": "802-627-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N MAIN ST",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761839",
            "telephone_number": "802-882-6468",
            "fax_number": "802-627-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADLEY",
        "first_name": "SARA",
        "middle_name": "CLAFFERTY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "833753",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sara.headley@911284825882628.direct.elationemr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6 N Main St",
            "city": "Waterbury",
            "state": "VT",
            "country_code": "US",
            "postal_code": "056761839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "CLAFFERTY",
            "middle_name": "KATHLEEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterbury, VT

Sources for this page

Verify at the official NPI Registry.