Active NPI
Clifton Frederick Lord, MD
- Addiction Medicine (Internal Medicine) Physician
- White River Junction, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 0420007259
- Practice address
- 220 Holiday Dr
White River Junction, VT 05001-2011 - Phone
- (802) 674-9400
- Fax
- (802) 674-9410
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 0420007259 | VT | Primary |
Addresses
Primary practice location
220 Holiday Dr
White River Junction, VT 05001-2011
Mailing address
220 Holiday Dr Ste a
White River Junction, VT 05001-2015
Phone (802) 674-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006638 | Medicaid | VT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- University of Vermont College of Medicine, 1978
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
220 Holiday Dr
Suite a
White River Junction, VT 05001-2015
Phone (802) 674-9400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Valley Addiction Recovery, Inc | Addiction Medicine | Current | Accepting new patients |
| Habit Opco, LLC | Current | Accepting new patients | |
| Synergy Counseling Group, LLC | Past | Accepting new patients |
Locations
20 Market St
Manchester, NH 03101
Phone (603) 487-6727
220 Holiday Dr
Ste A
White River Junction, VT 05001
Phone (802) 281-6364
141 Etta Frasier Dr
Windsor, VT 05089
Phone (802) 674-9400
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 and National Provider Directory roles.
-
- Addiction Medicine (Internal Medicine) Physician
- Windsor, VT
- NPI 1750932646
-
- Methadone Clinic
- West Lebanon, NH
- NPI 1033629100
-
- Adult Mental Health Clinic/Center
- Jericho, VT
- NPI 1386763225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1497828859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 HOLIDAY DR STE A",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050012015",
"telephone_number": "802-674-9400",
"fax_number": "802-674-9410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 HOLIDAY DR",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050012011",
"telephone_number": "802-674-9400",
"fax_number": "802-674-9410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORD",
"first_name": "CLIFTON",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "VT",
"license": "0420007259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006638",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White River Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.