Active NPI
Nancy Scattergood Donavan MD
- Family Medicine Physician
- Bennington, VT
National Provider Identifier
1538221502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0420006890
- Legal business name
- NANCY SCATTERGOOD DONAVAN MD
- Practice address
- 2074 S Stream Rd
Bennington, VT 05201-8886 - Phone
- (802) 379-5874
- Fax
- (802) 442-6703
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nancy Lee Scattergood, MD
- Title
- Physician
- Phone
- (802) 379-5874
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0420006890 | VT | Primary |
| Family Medicine Physician | 207Q00000X | 0420010148 | VT | |
| Family Nurse Practitioner | 363LF0000X | 1010021887 | VT |
Addresses
Primary practice location
2074 S Stream Rd
Bennington, VT 05201-8886
Mailing address
2074 S Stream Rd
Bennington, VT 05201-8886
Phone (802) 379-5874
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00049901 | Other | VT | BLUE CROSS BLUE SHIELD |
| 0NP2167 | Medicaid | VT | |
| 0VN2535 | Medicaid | VT | |
| 0005554 | Medicaid | VT | |
| 080172102 | Other | VT | RAILROAD MEDICARE |
| 080066554 | Other | VT | RAILROAD MEDICARE |
| 00028237 | Other | VT | BLUE CROSS BLUE SHIELD |
| 08328 | Other | VT | MVP |
| 319096 | Other | VT | MVP |
| 08198 | Other | VT | MVP |
| 10053531 | Other | VT | CDPHP |
| 00029207 | Other | VT | BLUE CROSS BLUE SHIELD |
| 10002929 | Other | VT | CDPHP |
Other names 1
- Nancy Scattergood MD
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Bennington, VT
- NPI 1801895818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1538221502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2074 S STREAM RD",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052018886",
"telephone_number": "802-379-5874",
"fax_number": "802-442-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2074 S STREAM RD",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052018886",
"telephone_number": "802-379-5874",
"fax_number": "802-442-6703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANCY SCATTERGOOD DONAVAN MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "SCATTERGOOD",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "802-379-5874",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "VT",
"license": "0420006890",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "VT",
"license": "0420010148",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "VT",
"license": "1010021887",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00049901",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0NP2167",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0VN2535",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005554",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080172102",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080066554",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00028237",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "08328",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "319096",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "08198",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10053531",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00029207",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10002929",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nancy Scattergood MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bennington, VT
- Moultons Spectacle Shoppe
- Mount Anthony Housing Corporation (Centers for Living and Rehabilitation)
- Kristen Munson, PSY.D.
- Allison Morse Murphy, NURSE PRACTITIONER
- Cynthia Ann Murphy, PSY.D., MBA
- Natural Health Family Practice
- Trevor Carl Neal, M.D.
- Neurological Consultants, P.C.
- New England Consulting Inc
- Beth Newman, LMFT, ATR-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.