Active NPI
Kathy P Cook, M.D.
- Dermatology Physician
- South Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- IA26734
- Practice address
- 321 Dorset St
South Burlington, VT 05403-6639 - Phone
- (802) 660-8808
- NPI assigned
- Oct 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0420018773 | VT | |
| Dermatology Physician | 207N00000X | IA26734 | IA | Primary |
Addresses
Primary practice location
321 Dorset St
South Burlington, VT 05403-6639
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-7190
Other practice location 1
500 Main St
Suite 113
Ames, IA 50010-6083
Phone (515) 232-3006
Other names 1
- Kathy Lynn Perisho
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
321 Dorset St
South Burlington, VT 05403-6639
Phone (802) 660-8808
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 216 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IA26734 | IA | MD | Dermatology Physician |
| 0420018773 | VT | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology of Colorado, PC | Dermatology | Current | Accepting new patients |
| Integrated Dermatology of South Burlington, PLLC | Dermatology | Current | Accepting new patients |
| Dorset Street Dermatology | Dermatology | Past | Accepting new patients |
| Dermatology & Laser Center at Harvard Park, PLLC | Dermatology | Past | Accepting new patients |
Locations
950 E Harvard Ave
Ste 440
Denver, CO 80210
Phone (303) 744-2404
1960 N Ogden St
Ste 555
Denver, CO 80218
Phone (303) 830-0400
1100 Poudre River Dr
Unit A
Fort Collins, CO 80524
Phone (970) 484-3078
4700 Exchange Ct
Ste 110
Boca Raton, FL 33431
Phone (561) 223-8081
151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293
321 Dorset St
South Burlington, VT 05403
Phone (802) 660-8808
Organizations & group practices 4
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.
-
- Dermatology Physician
- South Burlington, VT
- NPI 1871199703
-
- Dermatology Physician
- Fort Collins, CO
- NPI 1710370648
-
- Dermatology Physician
- South Burlington, VT
- NPI 1619130523
-
dba Dermatology & Laser Center
- Dermatology Physician
- Denver, CO
- NPI 1376645143
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1316034093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 YORK ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204630",
"telephone_number": "920-663-7190",
"fax_number": "920-684-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 DORSET ST",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054036639",
"telephone_number": "802-660-8808"
}
],
"practiceLocations": [
{
"address_1": "500 Main St",
"address_2": "Suite 113",
"address_purpose": "LOCATION",
"city": "Ames",
"state": "IA",
"postal_code": "500106083",
"country_code": "US",
"telephone_number": "515-232-3006",
"fax_number": "515-232-3009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK",
"first_name": "KATHY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VT",
"license": "0420018773",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IA",
"license": "IA26734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHY",
"last_name": "PERISHO",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.