NPIMap

Organization Active NPI

Hinesburg Family Health PC

  • Family Medicine Physician
  • Hinesburg, VT
National Provider Identifier
1437281128
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HINESBURG FAMILY HEALTH PC
Practice address
22 Commerce St
Unit 10
Hinesburg, VT 05461
Phone
(802) 482-3200
Fax
(802) 482-5238
NPI assigned
Mar 9, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. John W ReynoldsNPI 1881787984
Title
President
Phone
(802) 482-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X VT Primary

Addresses

Primary practice location

22 Commerce St
Unit 10
Hinesburg, VT 05461

Mailing address

PO Box 250
22 Commerce St Unit 10
Hinesburg, VT 05461
Phone (802) 482-3200

Other identifiers 1

IdentifierTypeStateIssuer
1009773MedicaidVT

National Provider Directory

National Provider Directory

Locations

22 Commerce St
Unit 10
Hinesburg, VT 05461
Phone (802) 482-3200

Practitioners & affiliated clinicians

Practitioners 7

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437281128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "address_2": "22 COMMERCE ST UNIT 10",
            "city": "HINESBURG",
            "state": "VT",
            "postal_code": "05461",
            "telephone_number": "802-482-3200",
            "fax_number": "802-482-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 COMMERCE ST",
            "address_2": "UNIT 10",
            "city": "HINESBURG",
            "state": "VT",
            "postal_code": "05461",
            "telephone_number": "802-482-3200",
            "fax_number": "802-482-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINESBURG FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-482-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009773",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesburg, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.