NPIMap

Individual provider Active NPI

Kristen Marie Sheehan, APRN

  • Family Nurse Practitioner
  • Rutland, VT
National Provider Identifier
1396219580
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0134262 Issued in VT
Practice address
198 N Main St Ste C-3
Rutland, VT 05701-3020
Phone
(802) 770-1814
Fax
(802) 636-6285
NPI assigned
Jan 22, 2019
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101.0134262 VT Primary

Addresses

Primary practice location

198 N Main St Ste C-3
Rutland, VT 05701-3020

Mailing address

198 N Main St Ste C-3
Rutland, VT 05701-3020
Phone (802) 770-1814

Other practice location 1

33 North St
Middletown Springs, VT 05757-4446
Phone (802) 235-3680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190812003136 VT Practitioner - Nurse Practitioner 7214262393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Bradford Psychiatric Associates LLCGroup PAC ID 9234411422, 3 clinicians

Practice addresses (Care Compare)

198 N Main St
Suite C 3
Rutland, VT 05701-3020
Phone (802) 236-6019

199 Stratton Rd
Suite 1
Rutland, VT 05701-4892
Phone (802) 775-7798

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bradford Psychiatric Associates. LLC CurrentSince Jan 14, 2026 Accepting new patients
Sheehan Health Care PLLC CurrentSince Jan 5, 2024 Accepting new patients
Rutland Family Care, LLC PastSince Jun 25, 2019 Accepting new patients

Locations

198 N Main St
Ste C3
Rutland, VT 05701
Phone (802) 236-6019

198 N Main St
Unit C3
Rutland, VT 05701
Phone (802) 236-6019

199 Stratton Rd
Ste 1
Rutland, VT 05701
Phone (802) 775-7795

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24449/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kristensheehan@vtreach.medentdirect.com

Organizations & group practices 3

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 7

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": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1396219580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 N MAIN ST STE C-3",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013020",
            "telephone_number": "802-770-1814",
            "fax_number": "802-636-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 N MAIN ST STE C-3",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013020",
            "telephone_number": "802-770-1814",
            "fax_number": "802-636-6285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 North St",
            "address_purpose": "LOCATION",
            "city": "Middletown Springs",
            "state": "VT",
            "postal_code": "057574446",
            "country_code": "US",
            "telephone_number": "802-235-3680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0134262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.