Individual provider Active NPI

Ruth M. Polishuk, APRN

  • Family Nurse Practitioner
  • Burlington, VT
National Provider Identifier
1427303510
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0088818 Issued in VT
Practice address
111 Colchester Ave.
Uvm Medical Center
Burlington, VT 05401
Phone
(802) 847-4714
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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 101.0088818 VT Primary

Addresses

Primary practice location

111 Colchester Ave.
Uvm Medical Center
Burlington, VT 05401

Mailing address

185 Sherman Dr
Uvm Medical Center
Saint Johnsbury, VT 05819-9811
Phone (802) 748-5041

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
I20120921000651 VT Practitioner - Nurse Practitioner 6103074893 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Counties Health Care Inc CurrentSince Jan 3, 2017 Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Oct 15, 2024 Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Oct 15, 2024 Accepting new patients
Northern Counties Health Care, Inc. CurrentSince Jan 3, 2017 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Feb 18, 2015 Accepting new patients
The Richford Health Center Inc Past Accepting new patients

Locations

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

26 Cedar Ln
Danville, VT 05828
Phone (802) 684-2275

195 Industrial Pkwy
Lyndonville, VT 05851

185 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-5041

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

Organizations & group practices 6

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": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1427303510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SHERMAN DR",
            "address_2": "UVM MEDICAL CENTER",
            "city": "SAINT JOHNSBURY",
            "state": "VT",
            "postal_code": "058199811",
            "telephone_number": "802-748-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE.",
            "address_2": "UVM MEDICAL CENTER",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-847-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLISHUK",
        "first_name": "RUTH",
        "middle_name": "M.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0088818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.