Sally Kathryn Mathieson, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1010063655 Issued in VT

Practice address

4 Slapp HL
Hardwick, VT 05843-9300

Phone

(802) 472-3300

Fax

(802) 472-8277

NPI assigned

Sep 3, 2010

Last updated

Oct 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

University of Vermont College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Counties Health Care IncGroup PAC ID 2860300936, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sally.mathieson.1@28542.direct.athenahealth.com

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.

• Northern Counties Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • St Johnsbury, VT
  • NPI 1649236225
  Medicare reassignment Care Compare group NPD
• Northeast Kingdom Human Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newport, VT
  • NPI 1043372709
  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  Psychiatric/Mental Health, VT

  Medicare reassignment NPD
• Leslie C Lockridge, MD

  • Hematology (Internal Medicine) Physician
  • Mountain Home, AR
  • NPI 1437133352

  VT

  Medicare reassignment
• Northern Counties Health Care, Inc.

  dba Northern Express Care Newport

  • Federally Qualified Health Center (FQHC)
  • Newport, VT
  • NPI 1003564931
  NPD

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1275840712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SHERMAN DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199811",
            "telephone_number": "802-748-9405",
            "fax_number": "802-748-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SLAPP HL",
            "city": "HARDWICK",
            "state": "VT",
            "postal_code": "058439300",
            "telephone_number": "802-472-3300",
            "fax_number": "802-472-8277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Cedar Ln",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VT",
            "postal_code": "058289751",
            "country_code": "US",
            "telephone_number": "802-684-2275",
            "fax_number": "802-684-3839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIESON",
        "first_name": "SALLY",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "1010063655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Rose Landrey, M.D.
• Kathleen Landry, LCMHC
• McKalyn Garrity Leclerc, M.D.
• Lori Jill Leff, LCMHC
• Nancy Lukas
• Margaret A. McGuire, PH.D.
• Sharon Moffatt, LCMHC
• Sarah E Morgan, MD
• Northeast Kingdom Dental Group PLLC (Hardwick Dental Group)
• Northern Counties Health Care, Inc. (Northern Counties Dental Center)

• Psychiatric/Mental Health Nurse Practitioner in Hardwick, VT
• Providers in Hardwick, VT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.

Verify at the official NPI Registry.