Individual provider Active NPI

Sarah Diane Nadeau, ARNP

  • Family Nurse Practitioner
  • Burlington, VT
National Provider Identifier
1407120603
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0084515 Issued in VT
Practice address
28 S Williams St
Burlington, VT 05401-3486
Phone
(802) 864-0677
NPI assigned
Mar 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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 101.0084515 VT Primary

Addresses

Primary practice location

28 S Williams St
Burlington, VT 05401-3486

Mailing address

28 S Williams St
Burlington, VT 05401-3486
Phone (802) 864-0677

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120613000152 VT Practitioner - Nurse Practitioner 5597929059 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
101.0084515VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Green Mountain Internal Medicine PLC CurrentSince Jan 10, 2018 Accepting new patients

Locations

550 Hinesburg Rd
Ste 201
South Burlington, VT 05403
Phone (802) 864-0677

Interoperability endpoints

  • Direct secure messaging: snadeau51859@direct.uvmhealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1407120603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S WILLIAMS ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013486",
            "telephone_number": "802-864-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S WILLIAMS ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013486",
            "telephone_number": "802-864-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "SARAH",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0084515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.