Individual provider Active NPI

Edward Joseph Laverty, PA

  • Physician Assistant
  • Newport, VT
National Provider Identifier
1366432478
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
055.0031605 Issued in VT
Practice address
137 Main St Ste 102
Newport, VT 05855-4415
Phone
(802) 995-2412
Fax
(802) 334-7991
NPI assigned
Oct 28, 2005
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 055.0031605 VT Primary

Addresses

Primary practice location

137 Main St Ste 102
Newport, VT 05855-4415

Mailing address

165 Sherman Dr
St Johnsbury, VT 05819-9811
Phone (802) 748-9405

Other practice location 1

457 Railroad St
St Johnsbury, VT 05819-1643
Phone (802) 633-6351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070815000801 NH Practitioner - Physician Assistant 8820180292 Reassigns benefits to 1 organization
I20240807001116 VT Practitioner - Physician Assistant 8820180292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Hahnemann University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Littleton Hospital AssociationGroup PAC ID 6901796556, shared by 4 NPIs, 111 clinicians

Practice addresses (Care Compare)

137 Main St
Newport, VT 05855-4415
Phone (802) 995-2412

26 Cedar LN
Danville, VT 05828-9751
Phone (802) 684-2275

600 Saint Johnsbury Rd
Littleton, NH 03561-3442
Phone (603) 444-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0264NHMDSpeech-Language Pathologist
004651NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Counties Health Care, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Northern Counties Health Care Inc CurrentSince Aug 1, 2024 Accepting new patients
Androscoggin Valley Hospital Inc CurrentSince Feb 16, 2016 Accepting new patients
Northern Counties Health Care Past Accepting new patients

Locations

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

181 Corliss Ln
Colebrook, NH 03576
Phone (603) 237-8652

26 Cedar Ln
Danville, VT 05828
Phone (802) 684-2275

137 Main St
Ste 102
Newport, VT 05855
Phone (802) 995-2412

165 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-9405

457 Railroad St
#2
St Johnsbury, VT 05819
Phone (802) 633-6351

Interoperability endpoints

  • Direct secure messaging: edward.laverty.1@28542.direct.athenahealth.com

Organizations & group practices 4

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 2

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1366432478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SHERMAN DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199811",
            "telephone_number": "802-748-9405",
            "fax_number": "802-748-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MAIN ST STE 102",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058554415",
            "telephone_number": "802-995-2412",
            "fax_number": "802-334-7991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "457 Railroad St",
            "address_purpose": "LOCATION",
            "city": "St Johnsbury",
            "state": "VT",
            "postal_code": "058191643",
            "country_code": "US",
            "telephone_number": "802-633-6351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVERTY",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055.0031605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, VT

Sources for this page

Verify at the official NPI Registry.