Active NPI
Jaclyn Peary, RN
- Home Health Registered Nurse
- Colchester, VT
National Provider Identifier
1467225227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 026.0151733
- Practice address
- 445 Thayer Beach Rd
Colchester, VT 05446-6529 - Phone
- (802) 598-0124
- NPI assigned
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 026.0151733 | VT | Primary |
Addresses
Primary practice location
445 Thayer Beach Rd
Colchester, VT 05446-6529
Mailing address
20 South St Unit B
Bristol, VT 05443-1231
Phone (978) 987-9616
Other practice location 1
20 South St Unit B
Bristol, VT 05443-1231
Phone (978) 987-9616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026.0151733 | VT | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1467225227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 SOUTH ST UNIT B",
"city": "BRISTOL",
"state": "VT",
"postal_code": "054431231",
"telephone_number": "978-987-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 THAYER BEACH RD",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054466529",
"telephone_number": "802-598-0124"
}
],
"practiceLocations": [
{
"address_1": "20 South St Unit B",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "VT",
"postal_code": "054431231",
"country_code": "US",
"telephone_number": "978-987-9616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEARY",
"first_name": "JACLYN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-03",
"last_updated": "2023-11-03",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "VT",
"license": "026.0151733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colchester, VT
- Lindsey Parker-Waters Parker-Waters, DNP, APRN, AGNP-C
- Steven R Partilo, M.D.
- Marta Parys
- Sahir Chandrakant Patel, M.D.
- Kristen Pavelock
- Penro Inc (PENRO Specialty Compounding)
- Sarah Kuebler Perryman, PT, DPT
- Thomas C Peterson, M.D.
- Pharmacy Network (Community Health Pharmacy)
- Stephanie Pierce, MSOTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.