Individual provider Active NPI

Kathy P Cook, M.D.

  • Dermatology Physician
  • South Burlington, VT
National Provider Identifier
1316034093
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
IA26734 Issued in IA
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

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250304000724 CO Practitioner - Dermatology 7214909472 Reassigns benefits to 1 organization
I20250811003458 VT Practitioner - Dermatology 7214909472 Reassigns benefits to 1 organization

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
Integrated Dermatology of South Burlington PLLCGroup PAC ID 3173939766, 5 clinicians

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 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions216
Removal or shaving of skin growth1-10
Skin biopsy42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
IA26734IAMDDermatology Physician
0420018773VTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Colorado, PC Dermatology CurrentSince Mar 1, 2025 Accepting new patients
Integrated Dermatology of South Burlington, PLLC Dermatology CurrentSince Aug 1, 2025 Accepting new patients
Dorset Street Dermatology Dermatology PastSince Aug 1, 2025 Accepting new patients
Dermatology & Laser Center at Harvard Park, PLLC Dermatology PastSince Mar 1, 2025 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.