NPIMap

Individual provider Active NPI

Alexandra Perreault, APRN

  • Family Nurse Practitioner
  • St Johnsbury, VT
National Provider Identifier
1336705433
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0134286 Issued in VT
Practice address
1080 Hospital Dr
St Johnsbury, VT 05819-6001
Phone
(802) 473-4100
NPI assigned
May 14, 2019
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101.0134286 VT Primary
Family Nurse Practitioner 363LF0000X 072345-23 NH

Addresses

Primary practice location

1080 Hospital Dr
St Johnsbury, VT 05819-6001

Mailing address

PO Box 755
Wells River, VT 05081-0755
Phone (802) 757-2325

Other practice location 1

65 Main St
Wells River, VT 05081-3000
Phone (802) 757-2325

Other names 1

  • Alexandra Borders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190612002563 VT Practitioner - Nurse Practitioner 3779816491 Reassigns benefits to 2 organizations
I20230919002140 NH Practitioner - Nurse Practitioner 3779816491 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

1080 Hospital Dr
St Johnsbury, VT 05819-6001
Phone (802) 473-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072345-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Sep 6, 2023 Accepting new patients
Weeks Medical Center CurrentSince Jan 24, 2024 Accepting new patients
Weeks Medical Center Current Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Sep 6, 2023 Accepting new patients
Weeks Medical Center CurrentSince Jan 24, 2024 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Sep 6, 2023 Accepting new patients
Brattleboro Memorial Hospital PastSince Aug 1, 2016 Accepting new patients
Androscoggin Valley Hospital Inc Past Accepting new patients

Locations

141 Corliss Ln
Colebrook, NH 03576
Phone (603) 237-5899

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

536 Cottage St
Littleton, NH 03561
Phone (603) 444-5317

53 Fairview St
Brattleboro, VT 05301
Phone (802) 251-8455

1080 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 473-4100

Interoperability endpoints

  • Direct secure messaging: aperreault538969@direct.dartmouth-hitchcock.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/

Organizations & group practices 9

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.

Hospital & facility affiliations 9

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1336705433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 755",
            "city": "WELLS RIVER",
            "state": "VT",
            "postal_code": "050810755",
            "telephone_number": "802-757-2325",
            "fax_number": "802-757-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 HOSPITAL DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058196001",
            "telephone_number": "802-473-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Main St",
            "address_purpose": "LOCATION",
            "city": "Wells River",
            "state": "VT",
            "postal_code": "050813000",
            "country_code": "US",
            "telephone_number": "802-757-2325",
            "fax_number": "802-757-3215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERREAULT",
        "first_name": "ALEXANDRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0134286",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "072345-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "BORDERS",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Johnsbury, VT

Sources for this page

Verify at the official NPI Registry.