Individual provider Active NPI

Lucy Vanhollebeke, FNP

  • Family Nurse Practitioner
  • Essex Junction, VT
National Provider Identifier
1437176393
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1010013305 Issued in VT
Practice address
8 Essex Way
Suite 201
Essex Junction, VT 05452-3425
Phone
(802) 872-7100
NPI assigned
Jul 16, 2006
Last updated
Apr 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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 1010013305 VT Primary

Addresses

Primary practice location

8 Essex Way
Suite 201
Essex Junction, VT 05452-3425

Mailing address

8 Essex Way
Suite 201
Essex Junction, VT 05452-3425
Phone (802) 872-7100

Other identifiers 2

IdentifierTypeStateIssuer
500023907OtherVTRAIL ROAD MEDICARE
ONP1813MedicaidVT

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1010013305VTMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1437176393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ESSEX WAY",
            "address_2": "SUITE 201",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523425",
            "telephone_number": "802-872-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ESSEX WAY",
            "address_2": "SUITE 201",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523425",
            "telephone_number": "802-872-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOLLEBEKE",
        "first_name": "LUCY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "1010013305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "500023907",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ONP1813",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.