Dustin Ray Mashburn, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

101.0136925 Issued in VT

Practice address

198 N Main St Ste C-3
Rutland, VT 05701-3020

Phone

(802) 770-1814

Fax

(802) 636-6285

NPI assigned

Feb 19, 2024

Last updated

Feb 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1285499392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MARKET ST UNIT 112",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036671",
            "telephone_number": "603-266-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 N MAIN ST STE C-3",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013020",
            "telephone_number": "802-770-1814",
            "fax_number": "802-636-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHBURN",
        "first_name": "DUSTIN",
        "middle_name": "RAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0136925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marszalkowski, MS
• Abigail Skye Martel
• Marissa Martin, PMHNP
• Martins Foods of South Burlington LLC (Hannaford Supermarket & Pharmacy)
• Kay Alison Marttila, RN, NP
• Chris S Masillo, PA
• Jaclyn Massie, PHARM D
• Tanner Duane Mathias, MD
• Brianna Grace Mathison
• Joanne Matthew, APRN

• Family Nurse Practitioner in Rutland, VT
• Providers in Rutland, VT by specialty
• Family Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.