Individual provider Active NPI

Rachel Anne Humphrey, M.D.

  • Family Medicine Physician
  • Hinesburg, VT
National Provider Identifier
1467624429
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042-0012153 Issued in VT
Practice address
22 Commerce St
Suite 10
Hinesburg, VT 05461-9303
Phone
(802) 482-3200
Fax
(802) 482-5238
NPI assigned
Mar 31, 2008
Last updated
Aug 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042-0012153 VT Primary

Addresses

Primary practice location

22 Commerce St
Suite 10
Hinesburg, VT 05461-9303

Mailing address

22 Commerce St
Suite 10
Hinesburg, VT 05461-9303
Phone (802) 482-3200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110616000696 VT Practitioner - Family Practice 1759569965 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0012153VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc Family Medicine CurrentSince Jun 1, 2011 Accepting new patients
Hinesburg Family Health PC Family Medicine Past Accepting new patients
University of Vermont Medical Center Inc Past Accepting new patients

Locations

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

22 Commerce St
Unit 10
Hinesburg, VT 05461
Phone (802) 482-3200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1467624429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 COMMERCE ST",
            "address_2": "SUITE 10",
            "city": "HINESBURG",
            "state": "VT",
            "postal_code": "054619303",
            "telephone_number": "802-482-3200",
            "fax_number": "802-482-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 COMMERCE ST",
            "address_2": "SUITE 10",
            "city": "HINESBURG",
            "state": "VT",
            "postal_code": "054619303",
            "telephone_number": "802-482-3200",
            "fax_number": "802-482-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042-0012153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesburg, VT

Sources for this page

Verify at the official NPI Registry.