Active NPI
Susan Betty Carol, MD
- General Practice Physician
- St. Albans, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 042.0013949
- Practice address
- 133 Faifield St.
St. Albans, VT 05478 - Phone
- (802) 524-1223
- Fax
- (802) 524-1095
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 52047141205 | UT | |
| Occupational Medicine Physician | 2083X0100X | 162694-1 | NY | |
| General Practice Physician | 208D00000X | DR.0073557 | CO | |
| General Practice Physician | 208D00000X | 042.0013949 | VT | Primary |
Addresses
Primary practice location
133 Faifield St.
St. Albans, VT 05478
Mailing address
133 Faifield St.
St. Albans, VT 05478
Phone (802) 524-1223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Saint Louis University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 Thornton Pkwy
Unit 110
Thornton, CO 80229-2166
Phone (720) 872-0399
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52047141205 | UT | MD | Emergency Medicine Physician |
| 162694-1 | NY | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care PA | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Emergency Medicine | Current | Accepting new patients |
| Emcare Physician Providers Inc | Emergency Medicine | Past | Accepting new patients |
| Twin Valley Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Pocono Emergency Physicians, P.C. | Emergency Medicine | Past | Accepting new patients |
Locations
1730 Blake St
Ste 100
Denver, CO 80202
Phone (303) 296-2273
550 Thornton Pkwy
Unit 110
Thornton, CO 80229
Phone (303) 341-1799
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Organizations & group practices 6
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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Emergency Medicine, WA
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Emergency Medicine Physician
- Mesquite, NV
- NPI 1558310797
-
- Emergency Medicine Physician
- East Stroudsburg, PA
- NPI 1700832151
-
- Emergency Medicine Physician
- Mesquite, NV
- NPI 1467401604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1508963596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 FAIFIELD ST.",
"city": "ST. ALBANS",
"state": "VT",
"postal_code": "05478",
"telephone_number": "802-524-1223",
"fax_number": "802-524-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 FAIFIELD ST.",
"city": "ST. ALBANS",
"state": "VT",
"postal_code": "05478",
"telephone_number": "802-524-1223",
"fax_number": "802-524-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAROL",
"first_name": "SUSAN",
"middle_name": "BETTY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "UT",
"license": "52047141205",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NY",
"license": "162694-1",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CO",
"license": "DR.0073557",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VT",
"license": "042.0013949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.