Pediatric Care Partners - Vermont

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC CARE PARTNERS - VERMONT

Practice address

66 Knight LN Ste 10
Williston, VT 05495-9308

Phone

(802) 872-4343

Fax

(802) 872-0907

NPI assigned

Dec 29, 2017

Organization subpart

No

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

Authorized official

Name

Jon Asselin

Title

Coo

Phone

(802) 872-4326

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1316454382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 KNIGHT LN STE 10",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959308",
            "telephone_number": "802-872-4343",
            "fax_number": "802-872-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 KNIGHT LN STE 10",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959308",
            "telephone_number": "802-872-4343",
            "fax_number": "802-872-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARE PARTNERS - VERMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "ASSELIN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "802-872-4326"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody James Parker, ATC
• Jenneth Anne Parker, ATC, CSCS
• Amy Partin, DPT
• Carmen Pascual Valero, DMD
• Cathy Scovell Pease, RPH
• Sophanaroth Penh
• Spencer E Perreault, ATC
• Pharmacy Direct Delivery LLC (Freedom Pharmacy)
• Martha Erin Phelps, BCBA
• Sherry Jeanne Pidgeon, OTR/L

• Pediatrics Physician in Williston, VT
• Providers in Williston, VT by specialty
• Pediatrics Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.