Kathryn Ridgely Applegate
Individual provider Active NPI Family Nurse Practitioner · South Burlington, VT
NPI 1285216408 · NPPES record last updated Sep 3, 2021
Key facts
- NPI
- 1285216408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 101-0134596 (VT)
- Practice address
- 118 Tilley Dr Ste 201
South Burlington, VT 05403-4450 - Phone
- (802) 847-5550
- NPI assigned
- Apr 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Vermont Medical Center Inc
Practice addresses (Care Compare)
118 Tilley Dr
Suite 102
South Burlington, VT 05403-4450
Phone (802) 862-9196
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 |
|---|---|---|---|---|
| I20210910001004 | VT | Practitioner - Nurse Practitioner | 3375949787 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101.0134596 | VT | MD | Family Medicine Physician |
| 101-0134596 | VT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Family Medicine | 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
118 Tilley Dr
Ste 102
South Burlington, VT 05403
Phone (802) 847-4600
118 Tilley Dr
Ste 201
South Burlington, VT 05403
Phone (802) 847-5550
Interoperability endpoints
- kapplegate9630@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 101.0134596 | VT | |
| Family Nurse Practitioner | 363LF0000X | 101-0134596 | VT | Yes |
Addresses
Primary practice location
118 Tilley Dr Ste 201
South Burlington, VT 05403-4450
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 233-6413
Other practice location 1
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 233-6413
Other providers in South Burlington, VT
- Karry Andileigh
- Brittney E Andrews
- Katherine A Anger
- David James Angus
- Catherine Murer Antley
- Katherine Irving Areson
- Angela Arigo
- Associates in Orhtodontics PC
- Associates in Orthopaedic Surgery, PC
- Associates in Periodontics and Implant Dentistry
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 Sep 3, 2021. 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.