Fletcher Allen Health Care

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

Legal business name

FLETCHER ALLEN HEALTH CARE

Practice address

111 Colchester Ave
McClure 7 - Nicu
Burlington, VT 05401-1473

Phone

(802) 847-2370

NPI assigned

Aug 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Sussdorff

Title

NNP

Phone

(802) 847-2370

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356458087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "MCCLURE 7 - NICU",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054010000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "MCCLURE 7 - NICU",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLETCHER ALLEN HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUSSDORFF",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "NNP",
        "authorized_official_telephone_number": "802-847-2370"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Lee Fitzgerald, OD
• Theresa B Flanagan, MD
• Courtney Landau Fleisher, PHD
• Molly C. Fleming, N.D., L. AC.
• Michelle Flemming, DO
• Fletcher Allen Health Care
• Fletcher Allen Health Care Inc
• Fletcher Allen Health Care Specialty Services, LLC
• Fletcher Allen Health Care Specialty Services, LLC
• Fletcher Allen Health Care, Inc

• Children's Hospital in Burlington, VT
• Providers in Burlington, VT by specialty
• Children's Hospital in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.