Erin O'Brien, NP
Individual provider Active NPI Family Nurse Practitioner · Vergennes, VT
NPI 1548614522 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1548614522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 101.0119758 (VT)
- Practice address
- 10 North St
Vergennes, VT 05491-1107 - Phone
- (802) 877-3466
- Fax
- (802) 877-1188
- NPI assigned
- Apr 15, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160621000115 | VT | Practitioner - Nurse Practitioner | 9436440500 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024175117 | VA | MD | Family Nurse Practitioner |
| 101.0119758 | VT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter Hospital, Inc | Current |
Accepting new patients | |
| Fiddlehead Ledge LLC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024175117 | VA | |
| Family Nurse Practitioner | 363LF0000X | 101.0119758 | VT | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eobrien13918@direct.virginiahospitalcenter.net | Direct |
Other providers in Vergennes, VT
- Jill Marie Lowrey
- Gregory Charles Maurer
- Ronald Alan McConnell
- Shauna McKeon
- Leila Menard McVeigh
- Oas, LLC
- Joel E Palmer
- Kimberly O'Boyle Palmer
- Pharmacy Health Services Inc
- Mary Ellen Piela
All providers in Vergennes, VT · Family Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.