Richard Fletcher, ARNP
Individual provider Active NPI Family Nurse Practitioner · Putney, VT
NPI 1487680484 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487680484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1010017054 (VT)
- Practice address
- 126 Main St
Putney, VT 05346-8701 - Phone
- (802) 387-5581
- Fax
- (802) 387-6694
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040729001087 | VT | Practitioner - Nurse Practitioner | 4385532639 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1010017054 | VT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Memorial Hospital | Current |
Accepting new patients | |
| Cheshire Medical Center | Past |
Accepting new patients |
Locations
17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1010017054 | VT | Yes |
Addresses
Primary practice location
126 Main St
Putney, VT 05346-8701
Mailing address
PO Box 247
126 Main St.
Putney, VT 05346-0247
Phone (802) 387-5581
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006076 | Medicaid | VT |
Other providers in Putney, VT
- Alana Crocker
- Pauline Crouch
- Linda Dearstyne
- Kari Lynn Dickey
- Christine Kapherr Ellis
- Emily Forbes-Mobus
- Kathleen Mary Glaser-Block
- Ani (Ann) Katherine Hawkinson
- Adrian L Heal
- Thomas Hoskins
All providers in Putney, VT · Family Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.