Active NPI
Sheehan Health Care PLLC
- Health Service Clinic/Center
- Rutland, VT
National Provider Identifier
1548038607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- SHEEHAN HEALTH CARE PLLC
- Practice address
- 198 N Main St Unit C-3
Rutland, VT 05701-3020 - Phone
- (802) 236-6019
- NPI assigned
- Dec 18, 2023
- 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
- Ms. Kristen Marie Sheehan, APRN
- Title
- Owner
- Phone
- (802) 236-6019
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
198 N Main St Unit C-3
Rutland, VT 05701-3020
Mailing address
33 North St
Middletown Springs, VT 05757-4446
Phone (802) 683-5729
Other names 1
- REACH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240924000640 | VT | Part B Supplier - Clinic/Group Practice | 8921549544 |
Receives reassigned benefits from 1 practitioner Practice locations: Rutland, VT |
National Provider Directory
National Provider DirectoryLocations
198 N Main St
Ste C3
Rutland, VT 05701
Phone (802) 236-6019
198 N Main St
Unit C3
Rutland, VT 05701
Phone (802) 236-6019
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702857600000",
"number": "1548038607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 NORTH ST",
"city": "MIDDLETOWN SPRINGS",
"state": "VT",
"postal_code": "057574446",
"telephone_number": "802-683-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 N MAIN ST UNIT C-3",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057013020",
"telephone_number": "802-236-6019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEEHAN HEALTH CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-18",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A",
"authorized_official_last_name": "SHEEHAN",
"authorized_official_first_name": "KRISTEN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-236-6019",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "REACH",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.