NPIMap

Organization Active NPI

Family Practice Associates Inc

  • Primary Care Clinic/Center
  • Cambridge, VT
National Provider Identifier
1407939721
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FAMILY PRACTICE ASSOCIATES INC
Practice address
272 No Main St
Suite 101
Cambridge, VT 05444
Phone
(802) 644-5114
Fax
(802) 644-5573
NPI assigned
Oct 23, 2006
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Susan Miller
Title
Office Manager
Phone
(802) 644-5114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

272 No Main St
Suite 101
Cambridge, VT 05444

Mailing address

PO Box 102
272 No Main St Suite 101
Cambridge, VT 05444-0102
Phone (802) 644-5114

Other identifiers 1

IdentifierTypeStateIssuer
0005083MedicaidVT

National Provider Directory

National Provider Directory

Locations

272 N Main St
Ste 101
Cambridge, VT 05444
Phone (802) 644-5114

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1407939721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "address_2": "272 NO MAIN ST SUITE 101",
            "city": "CAMBRIDGE",
            "state": "VT",
            "postal_code": "054440102",
            "telephone_number": "802-644-5114",
            "fax_number": "802-644-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 NO MAIN ST",
            "address_2": "SUITE 101",
            "city": "CAMBRIDGE",
            "state": "VT",
            "postal_code": "05444",
            "telephone_number": "802-644-5114",
            "fax_number": "802-644-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "802-644-5114"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005083",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.