Mid Vermont Healthcare

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1010021584 Issued in VT

Legal business name

MID VERMONT HEALTHCARE

Practice address

69 Allen St
Suite 10
Rutland, VT 05701-4564

Phone

(802) 786-9063

Fax

(802) 747-4532

NPI assigned

May 22, 2009

Last updated

May 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly A Eugair, F,NP

Title

Owner

Phone

(802) 786-9063

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1427283282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ALLEN ST",
            "address_2": "SUITE 10",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014564",
            "telephone_number": "802-786-9063",
            "fax_number": "802-747-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ALLEN ST",
            "address_2": "SUITE 10",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014564",
            "telephone_number": "802-786-9063",
            "fax_number": "802-747-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VERMONT HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "EUGAIR",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-786-9063",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "F,NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "1010021584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9562489",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008860",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "369555",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF VERMONT",
            "identifier": "58743",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500036759",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Joseph Metroff, OTR/L
• Trisha Ann Meyer, LICSW
• Louis Block Meyers, M.D.
• Katie Michelson, BA
• Mid Vermont Hand Therapy and Ergonomics
• Mid Vermont OB-GYN
• Mid Vermont Pathology PC
• Mid-Vermont ENT, P.C.
• Dianne Miller, P.T.
• Kelli Jo Miller, FNP-C

• Family Nurse Practitioner in Rutland, VT
• Providers in Rutland, VT by specialty
• Family Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.