Individual provider Active NPI

Nina H Gaby, APRN-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Berlin, VT
National Provider Identifier
1477850030
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
101.0047020 Issued in VT
Practice address
82 E View LN Ste 3
Family Psychiatry Associates
Berlin, VT 05602-9516
Phone
(802) 225-1266
Fax
(802) 479-3548
NPI assigned
Feb 17, 2011
Last updated
Dec 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101.0047020 VT Primary

Addresses

Primary practice location

82 E View LN Ste 3
Family Psychiatry Associates
Berlin, VT 05602-9516

Mailing address

PO Box 547
Att: CVMC Finance Dept
Barre, VT 05641-0547
Phone (802) 225-1266

Other identifiers 1

IdentifierTypeStateIssuer
1018814MedicaidVT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150413000149 VT Practitioner - Nurse Practitioner 6608194246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thomas Chittenden Health Center, PLCGroup PAC ID 7012813322, 15 clinicians

Practice addresses (Care Compare)

586 Oak Hill Rd
Williston, VT 05495-7103
Phone (802) 878-8131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101.0047020VTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc CurrentSince Mar 23, 2015 Accepting new patients
Thomas Chittenden Health Center, PLC CurrentSince Mar 1, 2018 Accepting new patients
Thomas Chittenden Health Center PastSince Mar 1, 2018 Accepting new patients

Locations

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

586 Oak Hill Rd
Williston, VT 05495
Phone (802) 878-8131

Interoperability endpoints

  • Direct secure messaging: ninagaby@tchc.medentdirect.com

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": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1477850030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "address_2": "ATT: CVMC FINANCE DEPT",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410547",
            "telephone_number": "802-225-1266",
            "fax_number": "802-479-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 E VIEW LN STE 3",
            "address_2": "FAMILY PSYCHIATRY ASSOCIATES",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029516",
            "telephone_number": "802-225-1266",
            "fax_number": "802-479-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABY",
        "first_name": "NINA",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "APRN-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0047020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018814",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

Verify at the official NPI Registry.