Kari Lynn Dickey, D.O.
Individual provider Active NPI Family Medicine Physician · Putney, VT
NPI 1457579500 · NPPES record last updated Sep 13, 2012
Key facts
- NPI
- 1457579500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0320075457 (VT)
- Practice address
- 79 Main St.
Putney, VT 05346-0247 - Phone
- (802) 387-5581
- Fax
- (802) 387-6694
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 8
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brattleboro Memorial Hospital
Practice addresses (Care Compare)
79 Main St
Putney, VT 05346-8318
Phone (802) 387-5581
Hospital & facility affiliations
- Bayada Hospice
- Brattleboro Memorial Hospital
- Pine Heights at Brattleboro Center for Nursing & R
- Vernon Green Nursing Home
- Thompson House Nursing Home
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Vernon Green Nursing Home |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Feb 1, 2013 May 23, 2025 |
| Thompson House |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2021 Mar 11, 2026 |
| Pine Heights at Brattleboro Center for Nursing and Rehabiliation |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Nov 18, 2024 Dec 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110608000544 | VT | Practitioner - Family Practice | 2769669381 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1123 | SC | MD | Family Medicine Physician |
| 0320075457 | VT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| Vernon Advent Christian Home, Inc. | Past | Accepting new patients | |
| Southern Vermont Health Services Corp | Past | Accepting new patients | |
| Brattleboro Mutual Aid Association, Inc. | Past | Accepting new patients | |
| Brattleboro Crossings LLC | Past | Accepting new patients | |
| Brattleboro Memorial Hospital | Family Medicine | Past |
Accepting new patients |
Locations
17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360
28 Belmont Ave
Brattleboro, VT 05301
Phone (802) 241-9965
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1123 | SC | |
| Family Medicine Physician | 207Q00000X | 0320075457 | VT | Yes |
Addresses
Primary practice location
79 Main St.
Putney, VT 05346-0247
Mailing address
17 Belmont Ave
Brattleboro, VT 05301-7601
Phone (802) 387-5581
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30229123 | Medicaid | NH | |
| RHC013 | Medicaid | SC | |
| GP0365 | Medicaid | SC | |
| 1019056 | Medicaid | VT |
Other providers in Putney, VT
- Jane Davis Burgess
- Andrea Carlson
- Alana Crocker
- Pauline Crouch
- Linda Dearstyne
- Christine Kapherr Ellis
- Richard Fletcher
- Emily Forbes-Mobus
- Kathleen Mary Glaser-Block
- Ani (Ann) Katherine Hawkinson
All providers in Putney, VT · Family Medicine Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.