Grace Mikhaila Kozik, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

101.0134241 Issued in VT

Practice address

720 Village Rd
Little Rivers Health Care -East Corinth
East Corinth, VT 05040

Phone

(802) 439-5321

NPI assigned

Jan 31, 2018

Last updated

Jul 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Little Rivers Health Care, Inc.Group PAC ID 8224031497, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Little Rivers Health Care, Inc.

  • Primary Care Clinic/Center
  • Bradford, VT
  • NPI 1033163555
  Medicare reassignment Care Compare group NPD
• Little Rivers Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Corinth, VT
  • NPI 1962161745

  Family

  NPD
• Little Rivers Health Care, Inc.

  dba Little Rivers Health Care

  • Federally Qualified Health Center (FQHC)
  • Newbury, VT
  • NPI 1376119966
  NPD (past)
• Little Rivers Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wells River, VT
  • NPI 1861640161
  NPD (past)
• Little Rivers Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Corinth, VT
  • NPI 1972751279
  NPD (past)

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1396243762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "050330338",
            "telephone_number": "802-222-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 VILLAGE RD",
            "address_2": "LITTLE RIVERS HEALTH CARE -EAST CORINTH",
            "city": "EAST CORINTH",
            "state": "VT",
            "postal_code": "05040",
            "telephone_number": "802-439-5321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "437 S Main St",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "VT",
            "postal_code": "050339196",
            "country_code": "US",
            "telephone_number": "802-222-9317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3616 Vt Route 244 Apt A",
            "address_purpose": "LOCATION",
            "city": "Fairlee",
            "state": "VT",
            "postal_code": "050459739",
            "country_code": "US",
            "telephone_number": "802-333-3192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZIK",
        "first_name": "GRACE",
        "middle_name": "MIKHAILA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0134241",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "076421-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0134241",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2314177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Byron Erb, MD
• Katherine Goyette, FNP-BC
• Little Rivers Health Care, Inc.
• Little Rivers Health Care, Inc.
• Erin Anne Loskutoff, RN, APRN
• Colleen O'Neill Mulvihill
• Hannah Ivins Narowski, PT

• Psychiatric/Mental Health Nurse Practitioner in East Corinth, VT
• Providers in East Corinth, VT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.

Verify at the official NPI Registry.