Active NPI
Folake Azeez, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Rutland, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP144479
- Practice address
- 231 N Main St
Rutland, VT 05701-2412 - Phone
- (802) 772-0942
- Fax
- (802) 772-0702
- NPI assigned
- Jan 30, 2020
- Last updated
- May 31, 2024
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP144479 | TX | Primary |
Addresses
Primary practice location
231 N Main St
Rutland, VT 05701-2412
Mailing address
231 N Main St
Rutland, VT 05701-2412
Phone (802) 772-0942
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Centers of the Rutland Region Inc
Practice addresses (Care Compare)
231 N Main St
Rutland, VT 05701-2412
Phone (800) 468-9118
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP144479 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Rutland Region, Inc. | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc. | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc. | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region Inc | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region Inc | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc. | Current | Accepting new patients | |
| Community Health Centers of the Rutland Region, Inc | Past | Accepting new patients |
Locations
275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641
420 Grove St
Brandon, VT 05733
Phone (802) 247-6305
1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131
215 Stratton Rd
Rutland, VT 05701
Phone (802) 773-3386
215 Stratton Rd
#1
Rutland, VT 05701
231 N Main St
Rutland, VT 05701
Phone (800) 468-9118
71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118
71 Allen St
Ste 403
Rutland, VT 05701
Phone (802) 772-4414
2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000
278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118
Interoperability endpoints
- fazeez@chcrr.medentdirect.com
Organizations & group practices 7
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.
-
dba Rutland Community Health Center
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1467681114
-
- Family Medicine Physician
- Brandon, VT
- NPI 1073567590
-
dba dba Mettowee Valley Family Health Center
- Family Medicine Physician
- West Pawlet, VT
- NPI 1104870922
-
- Federally Qualified Health Center (FQHC)
- Bomoseen, VT
- NPI 1336193838
-
dba CHCRR Pediatrics
- Pediatrics Physician
- Rutland, VT
- NPI 1780969345
-
dba Community Health North Main St
- Federally Qualified Health Center (FQHC)
- Rutland, VT
- NPI 1518613215
-
dba Shorewell Community Health Center
- Federally Qualified Health Center (FQHC)
- Shoreham, VT
- NPI 1811241094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1508497280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 N MAIN ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057012412",
"telephone_number": "802-772-0942",
"fax_number": "802-772-0702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 N MAIN ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057012412",
"telephone_number": "802-772-0942",
"fax_number": "802-772-0702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZEEZ",
"first_name": "FOLAKE",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP144479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.