NPIMap

Individual provider Active NPI

Shellie Burdick, D.O.

  • Family Medicine Physician
  • Pownal, VT
National Provider Identifier
1376839332
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
032.0133921 Issued in VT
Practice address
7237 Route 7
Pownal, VT 05261-9494
Phone
(802) 681-2780
NPI assigned
Jun 28, 2011
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT014123 PA
Family Medicine Physician 207Q00000X 20A13173 CA
Family Medicine Physician 207Q00000X 293296 MA
Family Medicine Physician 207Q00000X 032.0133921 VT Primary

Addresses

Primary practice location

7237 Route 7
Pownal, VT 05261-9494

Mailing address

7237 Route 7
Pownal, VT 05261-9494
Phone (802) 681-2780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141202001207 CA Practitioner - Family Practice 2860714854 Reassigns benefits to 1 organization
I20210706003327 VT Practitioner - Family Practice 2860714854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. Shellie Burdick LLCGroup PAC ID 8123482957, 2 clinicians

Practice addresses (Care Compare)

10 Bank St
North Bennington, VT 05257-9101
Phone (802) 732-3010

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A13173CAMDFamily Medicine Physician
293296MAMDFamily Medicine Physician
OT014123PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Oct 22, 2014 Accepting new patients
Family Healthcare Network CurrentSince Oct 22, 2014 Accepting new patients
Family Healthcare Network Current Accepting new patients
Southwestern Vermont Medical Center Inc. Family Medicine Current Accepting new patients
Southwestern Vermont Medical Center Inc. CurrentSince Jul 1, 2021 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Dr. Shellie Burdick LLC CurrentSince Aug 10, 2023 Accepting new patients
Family Healthcare Network Current Accepting new patients
Southwestern Vermont Medical Center, Inc CurrentSince Jul 1, 2021 Accepting new patients
Family Healthcare Network Current Accepting new patients
Avery Wood MD LLC PastSince May 1, 2008 Accepting new patients

Locations

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

401 E School Ave
Visalia, CA 93291
Phone (559) 741-2670

501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939

140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836

7237 Route 7
Pownal, VT 05261
Phone (802) 681-2780

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA
  • Direct secure messaging: shellie.burdick@645200033480708.direct.elationemr.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1376839332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7237 ROUTE 7",
            "city": "POWNAL",
            "state": "VT",
            "postal_code": "052619494",
            "telephone_number": "802-681-2780",
            "fax_number": "833-344-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7237 ROUTE 7",
            "city": "POWNAL",
            "state": "VT",
            "postal_code": "052619494",
            "telephone_number": "802-681-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "SHELLIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT014123",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A13173",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "293296",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "032.0133921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pownal, VT

Sources for this page

Verify at the official NPI Registry.