Active NPI
Kathleen Talbot Santos, PA
- Physician Assistant
- Fairfax, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1199 Main St
Fairfax, VT 05454-9530 - Phone
- (802) 849-2844
- NPI assigned
- Mar 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1199 Main St
Fairfax, VT 05454-9530
Mailing address
44 Main St Ste 200
Richford, VT 05476-1141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900841 | Medicaid | VT |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160705000731 | VT | Practitioner - Physician Assistant | 4981996352 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Centers of Burlington Inc
Practice addresses (Care Compare)
368 Dorset St
Suite 1
South Burlington, VT 05403-6236
Phone (802) 860-1441
617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309
Hospital & facility affiliations
- Uvmhn Home Health and Hospice
- Univ. of Vermont - Fletcher Allen Health Care
- Northwestern Medical Center Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of Burlington Inc | Current | Accepting new patients | |
| Community Health Centers of Burlington Inc | Past | Accepting new patients | |
| University of Vermont Medical Center Inc | Past | Accepting new patients |
Locations
617 Riverside Ave
Ste 200
Burlington, VT 05401
789 Pine St
Burlington, VT 05401
Phone (802) 264-1052
617 Riverside Ave
Burlington, VT 05401
Phone (802) 264-8158
368 Dorset St
Ste 1
South Burlington, VT 05403
Phone (802) 860-1441
Interoperability endpoints
- kathleen.santos.p1@direct.chcb.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Burlington, VT
- NPI 1689678963
VT
-
- Community/Retail Pharmacy
- South Burlington, VT
- NPI 1659190924
-
- Federally Qualified Health Center (FQHC)
- Burlington, VT
- NPI 1083832851
-
- Community/Retail Pharmacy
- Burlington, VT
- NPI 1720797954
-
- Federally Qualified Health Center (FQHC)
- Burlington, VT
- NPI 1942199088
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1386689875
Hospital
-
- Home Health Agency
- Colchester, VT
- NPI 1851343586
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1457714065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 MAIN ST STE 200",
"city": "RICHFORD",
"state": "VT",
"postal_code": "054761141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 MAIN ST",
"city": "FAIRFAX",
"state": "VT",
"postal_code": "054549530",
"telephone_number": "802-849-2844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "KATHLEEN",
"middle_name": "TALBOT",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-31",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "900841",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.