Active NPI
Martha Parnell Seagrave, PA-C
- Medical Physician Assistant
- Burlington, VT
National Provider Identifier
1407923329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0550030452
- Practice address
- 425 Pearl Street
Center for Health and Wellbeing
Burlington, VT 05401 - Phone
- (802) 656-3350
- NPI assigned
- Nov 29, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0550030452 | VT | Primary |
Addresses
Primary practice location
425 Pearl Street
Center for Health and Wellbeing
Burlington, VT 05401
Mailing address
425 Pearl Street
Center for Health and Wellbeing
Burlington, VT 05401
Phone (802) 656-3350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0550030452 | VT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1407923329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 PEARL STREET",
"address_2": "CENTER FOR HEALTH AND WELLBEING",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05401",
"telephone_number": "802-656-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 PEARL STREET",
"address_2": "CENTER FOR HEALTH AND WELLBEING",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05401",
"telephone_number": "802-656-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEAGRAVE",
"first_name": "MARTHA",
"middle_name": "PARNELL",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VT",
"license": "0550030452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.