Active NPI
Lisa Hartman, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Rutland, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 101.0135204
- Practice address
- 71 Allen St
Rutland, VT 05701-4570 - Phone
- (802) 779-0571
- NPI assigned
- Feb 23, 2022
- Last updated
- Feb 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 101.0135204 | VT | Primary |
Addresses
Primary practice location
71 Allen St
Rutland, VT 05701-4570
Mailing address
PO Box 171
Ripton, VT 05766-0171
Phone (802) 349-4303
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Centers of the Rutland Region Inc
Practice addresses (Care Compare)
275 Route 30 N
Bomoseen, VT 05732-9647
Phone (802) 468-5641
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101.0135204 | VT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Rutland Region, Inc. | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc. | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc. | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region Inc | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region Inc | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc. | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc | Current | Accepting new patients |
Locations
275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641
420 Grove St
Brandon, VT 05733
Phone (802) 247-6305
1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131
215 Stratton Rd
#1
Rutland, VT 05701
231 N Main St
Rutland, VT 05701
Phone (800) 468-9118
71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118
71 Allen St
Ste 403
Rutland, VT 05701
Phone (802) 772-4414
2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000
278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118
Interoperability endpoints
- lhartman@chcrr.medentdirect.com
Organizations & group practices 7
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.
-
dba Rutland Community Health Center
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1467681114
-
- Family Medicine Physician
- Brandon, VT
- NPI 1073567590
-
dba dba Mettowee Valley Family Health Center
- Family Medicine Physician
- West Pawlet, VT
- NPI 1104870922
-
- Federally Qualified Health Center (FQHC)
- Bomoseen, VT
- NPI 1336193838
-
dba CHCRR Pediatrics
- Pediatrics Physician
- Rutland, VT
- NPI 1780969345
-
dba Community Health North Main St
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1518613215
-
dba Shorewell Community Health Center
- Federally Qualified Health Center (FQHC)
- Shoreham, VT
- NPI 1811241094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1376299859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 171",
"city": "RIPTON",
"state": "VT",
"postal_code": "057660171",
"telephone_number": "802-349-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 ALLEN ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014570",
"telephone_number": "802-779-0571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "LISA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-23",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VT",
"license": "101.0135204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.