Active NPI
Carolyn Louise Taylor-Olson, MD
- Internal Medicine Physician
- Brattleboro, VT
National Provider Identifier
1336183003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 42-0007969
- Practice address
- 17 Belmont Ave
Brattleboro, VT 05301-7601 - Phone
- (802) 442-8164
- NPI assigned
- Jun 15, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42-0007969 | VT | Primary |
| Internal Medicine Physician | 207R00000X | G42258 | CA |
Addresses
Primary practice location
17 Belmont Ave
Brattleboro, VT 05301-7601
Mailing address
2124 Packer Corners Rd
Guilford, VT 05301
Phone (802) 254-9255
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79667 | Other | MOHAWK VALLEY HEALTH PLAN | |
| 5517787 | Other | CIGNA | |
| 0009474 | Medicaid | VT | |
| 00001718 | Other | VT | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G42258 | CA | MD | Internal Medicine Physician |
| 42-0007969 | VT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Internal Medicine | Past | Accepting new patients |
| Dartmouth-Hitchcock Clinic | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Medicine Physician
- Brattleboro, VT
- NPI 1508946732
Internal Medicine
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1336183003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 PACKER CORNERS RD",
"city": "GUILFORD",
"state": "VT",
"postal_code": "05301",
"telephone_number": "802-254-9255",
"fax_number": "802-254-9255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 BELMONT AVE",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053017601",
"telephone_number": "802-442-8164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR-OLSON",
"first_name": "CAROLYN",
"middle_name": "LOUISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VT",
"license": "42-0007969",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G42258",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOHAWK VALLEY HEALTH PLAN",
"identifier": "79667",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5517787",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009474",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00001718",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.