Individual provider Active NPI

Kristen Aremburg, APRN

  • Family Nurse Practitioner
  • White River Junction, VT
National Provider Identifier
1346528346
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
059360-23 Issued in NH
Practice address
163 Veterans Dr
VA Medical Center
White River Junction, VT 05009-0001
Phone
(802) 295-9363
NPI assigned
Jul 26, 2011
Last updated
Aug 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 059360-23 NH Primary

Addresses

Primary practice location

163 Veterans Dr
VA Medical Center
White River Junction, VT 05009-0001

Mailing address

215 North Main Street
VA Medical Center
White River Junction, VT 05009
Phone (802) 295-9363

Other identifiers 3

IdentifierTypeStateIssuer
1019448MedicaidVT
3075491MedicaidNH
30349006MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110913000819 NH Practitioner - Nurse Practitioner 8224209739 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
059360-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center, P.a. CurrentSince Aug 3, 2023 Accepting new patients
Faodail Pain Management, PLLC PastSince Oct 1, 2020 Accepting new patients
Cottage Hospital PastSince Sep 28, 2011 Accepting new patients

Locations

252 Mechanic St
Lebanon, NH 03766
Phone (603) 359-8811

1 Oak Ridge Rd
Ste 11B
West Lebanon, NH 03784
Phone (603) 448-1941

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1346528346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 NORTH MAIN STREET",
            "address_2": "VA MEDICAL CENTER",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "05009",
            "telephone_number": "802-295-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 VETERANS DR",
            "address_2": "VA MEDICAL CENTER",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050090001",
            "telephone_number": "802-295-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREMBURG",
        "first_name": "KRISTEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "059360-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019448",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075491",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30349006",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

Verify at the official NPI Registry.