Active NPI
Lisa Anne Rasmussen
- Neurology with Special Qualifications in Child Neurology Physician
- Burlington, VT
National Provider Identifier
1447799432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 042.0013602
- Practice address
- 111 Colchester Ave.
Uvm Medical Center/Pedi-Neurology
Burlington, VT 05401 - Phone
- (802) 847-4589
- Fax
- (802) 847-2461
- NPI assigned
- Feb 23, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
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: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170425001645 | VT | Practitioner - Neurology | 9133406325 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042.0013602 | VT | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Current | 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
Interoperability endpoints
- lrasmussen161572@direct.uvmhealth.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 042.0013602 | VT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
111 Colchester Ave.
Uvm Medical Center/Pedi-Neurology
Burlington, VT 05401
Mailing address
111 Colchester Ave.
Uvm Medical Center/Pedi-Neurology
Burlington, VT 05401
Phone (802) 847-4589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2017.
{
"created_epoch": "1487808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1447799432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE.",
"address_2": "UVM MEDICAL CENTER/PEDI-NEUROLOGY",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05401",
"telephone_number": "802-847-4589",
"fax_number": "802-847-2461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE.",
"address_2": "UVM MEDICAL CENTER/PEDI-NEUROLOGY",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05401",
"telephone_number": "802-847-4589",
"fax_number": "802-847-2461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "LISA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-23",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "VT",
"license": "042.0013602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.