Active NPI
Kathy G Felder, WHNP-BC, CUNP
- Nurse Practitioner
- Springfield, VT
National Provider Identifier
1295700821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1010012159
- Practice address
- 29 Ridgewood Rd
C
Springfield, VT 05156-3060 - Phone
- (802) 886-3556
- NPI assigned
- Feb 17, 2006
- Last updated
- Oct 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1010012159 | VT | Primary |
Addresses
Primary practice location
29 Ridgewood Rd
C
Springfield, VT 05156-3060
Mailing address
29 Ridgewood Rd
Level C
Springfield, VT 05156-3060
Phone (802) 886-3556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008527 | Medicaid | VT | |
| 1010012159 | Other | VT | STATE LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1010012159 | VT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ernest M. Bove, M.D | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1295700821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 RIDGEWOOD RD",
"address_2": "LEVEL C",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "051563060",
"telephone_number": "802-886-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 RIDGEWOOD RD",
"address_2": "C",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "051563060",
"telephone_number": "802-886-3556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDER",
"first_name": "KATHY",
"middle_name": "G",
"credential": "WHNP-BC, CUNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VT",
"license": "1010012159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008527",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC",
"identifier": "1010012159",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.