Individual provider Active NPI

Kathleen A Haughton, FNP

  • Family Nurse Practitioner
  • Bennington, VT
National Provider Identifier
1447292099
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
188094 Issued in MA
Practice address
655 Main St Ste 2
Bennington, VT 05201-2871
Phone
(802) 448-5105
NPI assigned
Jun 11, 2006
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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 188094 MA Primary

Addresses

Primary practice location

655 Main St Ste 2
Bennington, VT 05201-2871

Mailing address

PO Box 291943
525 Royal Parkway
Nashville, TN 37229-1914
Phone (833) 953-0829

Other identifiers 3

IdentifierTypeStateIssuer
0382311MedicaidMA
NP0649OtherMABLUE CROSS BLUE SHIELD
188094OtherMACONNECTICARE, INC. OF MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050119000479 MA Practitioner - Nurse Practitioner 4587613351 Reassigns benefits to 1 organization
I20190912001324 VT Practitioner - Nurse Practitioner 4587613351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savida Health PCGroup PAC ID 4082809967, shared by 7 NPIs, 89 clinicians

Practice addresses (Care Compare)

50 Union St
West Springfield, MA 01089-3317
Phone (413) 732-0040

79 Coventry St
Newport, VT 05855-2206
Phone (833) 952-0829

Merit-based Incentive Payment System (MIPS)

Final score
35.98 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
20
Cost
78.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
188094MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Anesthesia Service, Inc. Past Accepting new patients
Umass Memorial Medical Group Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kathleen.haughton.1@24804.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1447292099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291943",
            "address_2": "525 ROYAL PARKWAY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372291914",
            "telephone_number": "833-953-0829",
            "fax_number": "615-237-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MAIN ST STE 2",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012871",
            "telephone_number": "802-448-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGHTON",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "188094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0382311",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NP0649",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE, INC. OF MA",
            "identifier": "188094",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

Verify at the official NPI Registry.