Individual provider Active NPI

Holliday Kane Rayfield, M.D.

  • Psychiatry Physician
  • Essex Junction, VT
National Provider Identifier
1366467177
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0420009726 Issued in VT
Practice address
55 Main St
Ste 1
Essex Junction, VT 05452-6100
Phone
(802) 288-1087
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0420009726 VT Primary

Addresses

Primary practice location

55 Main St
Ste 1
Essex Junction, VT 05452-6100

Mailing address

55 Main St
Ste 1
Essex Junction, VT 05452-6100
Phone (802) 288-1087

Other identifiers 1

IdentifierTypeStateIssuer
OVN 2335MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081007000048 VT Practitioner - PsychiatryPractitioner - Other (Physician) 7810065687 Practice locations: Essex Junction, VT

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Vermont College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

55 Main St
Suite 1
Essex Junction, VT 05452-6100
Phone (802) 662-4991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420009726VTMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1366467177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MAIN ST",
            "address_2": "STE 1",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054526100",
            "telephone_number": "802-288-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MAIN ST",
            "address_2": "STE 1",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054526100",
            "telephone_number": "802-288-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYFIELD",
        "first_name": "HOLLIDAY",
        "middle_name": "KANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "0420009726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN 2335",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

Verify at the official NPI Registry.