Active NPI
Sara Clafferty Headley
- Nurse Practitioner
- Waterbury, VT
National Provider Identifier
1265858245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95012391
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
- Central Vermont Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 833753 | CA | MD | Registered Nurse |
| 95012391 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mint Medical, PLLC | Current | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Nurse Practitioner
- Waterbury, VT
- NPI 1528871688
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Berlin, VT
- NPI 1508845637
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.