NPIMap

Individual provider Active NPI

Nathaniel Burns, PA-C

  • Physician Assistant
  • Richford, VT
National Provider Identifier
1457780736
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
055.0031186 Issued in VT
Practice address
44 Main St
Suite 200
Richford, VT 05476-1153
Phone
(802) 255-5500
NPI assigned
Nov 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 055.0031186 VT Primary

Addresses

Primary practice location

44 Main St
Suite 200
Richford, VT 05476-1153

Mailing address

44 Main St
Suite 200
Richford, VT 05476-1153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140516000657 VT Practitioner - Physician Assistant 7719100973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Northwestern University Feinberg Medical School, 2013
Medicare assignment
May accept Medicare assignment
Group practices
The Richford Health Center, Inc.Group PAC ID 7012825631, 30 clinicians

Practice addresses (Care Compare)

4178 Highbridge Rd
Fairfax, VT 05454-5446
Phone (802) 255-5580

64 Industrial Park Rd
Alburg, VT 05440-4170
Phone (802) 796-4414

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Rutland, VT, CCN 477019
  • Vna & Hospice of the Southwest Region, Inc. Home health agency, Rutland, VT, CCN 477007
  • Vna & Hospice of Southwest Region, Inc. Hospice, Rutland, VT, CCN 471507
  • Northwestern Medical Center Inc Hospital, Saint Albans, VT, CCN 470024
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
055.0031186VTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Richford Health Center Inc CurrentSince Dec 1, 2013 Accepting new patients
The Richford Health Center Inc CurrentSince Dec 1, 2013 Accepting new patients
The Richford Health Center Inc Past Accepting new patients
The Richford Health Center Inc Past Accepting new patients

Locations

4178 Highbridge Rd
Fairfax, VT 05454
Phone (802) 524-9595

1199 Main St
Fairfax, VT 05454
Phone (802) 849-2023

44 Main St
Ste 200
Richford, VT 05476
Phone (802) 255-5500

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

12 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

26 Canada St
Swanton, VT 05488
Phone (800) 868-2454

Interoperability endpoints

  • Direct secure messaging: nburns@notch.medentdirect.com

Organizations & group practices 9

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1457780736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MAIN ST",
            "address_2": "SUITE 200",
            "city": "RICHFORD",
            "state": "VT",
            "postal_code": "054761153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MAIN ST",
            "address_2": "SUITE 200",
            "city": "RICHFORD",
            "state": "VT",
            "postal_code": "054761153",
            "telephone_number": "802-255-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "NATHANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055.0031186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richford, VT

Sources for this page

Verify at the official NPI Registry.