Active NPI
Paula Griffin Dwan, N.P.
- Women's Health Nurse Practitioner
- Colchester, VT
National Provider Identifier
1568676591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 101.0137335
- Practice address
- 105 Westview Rd Ste 302
Colchester, VT 05446-8025 - Phone
- (802) 655-8888
- NPI assigned
- May 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 101.0137335 | VT | Primary |
Addresses
Primary practice location
105 Westview Rd Ste 302
Colchester, VT 05446-8025
Mailing address
105 Westview Rd Ste 302
Colchester, VT 05446-8025
Phone (802) 655-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101.0137335 | Other | VT | VERMONT APRN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101.0137335 | VT | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1568676591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WESTVIEW RD STE 302",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054468025",
"telephone_number": "802-655-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 WESTVIEW RD STE 302",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054468025",
"telephone_number": "802-655-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWAN",
"first_name": "PAULA",
"middle_name": "GRIFFIN",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "VT",
"license": "101.0137335",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VERMONT APRN LICENSE",
"identifier": "101.0137335",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colchester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.