Individual provider Active NPI

Erin O'Brien, NP

  • Family Nurse Practitioner
  • Vergennes, VT
National Provider Identifier
1548614522
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0119758 Issued in VT
Practice address
10 North St
Vergennes, VT 05491-1107
Phone
(802) 877-3466
Fax
(802) 877-1188
NPI assigned
Apr 15, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024175117 VA
Family Nurse Practitioner 363LF0000X 101.0119758 VT Primary

Addresses

Primary practice location

10 North St
Vergennes, VT 05491-1107

Mailing address

1600 N Beauregard St Ste 300
Alexandria, VA 22311-1732
Phone (703) 717-4148

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eobrien13918@direct.virginiahospitalcenter.net Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160621000115 VT Practitioner - Nurse Practitioner 9436440500 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024175117VAMDFamily Nurse Practitioner
101.0119758VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Hospital, Inc CurrentSince Feb 1, 2021 Accepting new patients
Fiddlehead Ledge LLC CurrentSince Aug 8, 2021 Accepting new patients

Locations

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

10 North St
Vergennes, VT 05491
Phone (802) 877-3466

Interoperability endpoints

  • Direct secure messaging: eobrien13918@direct.virginiahospitalcenter.net

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548614522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N BEAUREGARD ST STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111732",
            "telephone_number": "703-717-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NORTH ST",
            "city": "VERGENNES",
            "state": "VT",
            "postal_code": "054911107",
            "telephone_number": "802-877-3466",
            "fax_number": "802-877-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "ERIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175117",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0119758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eobrien13918@direct.virginiahospitalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LOINC 34133-9",
            "address_1": "1600 N Beauregard St Ste 300",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223111732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vergennes, VT

Sources for this page

Verify at the official NPI Registry.