Individual provider Active NPI

Azaliah Hannah Tillinghast, FNP-BC

  • Family Nurse Practitioner
  • Barre, VT
National Provider Identifier
1609409432
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0134487 Issued in VT
Practice address
2418 Airport Rd
Barre, VT 05641-8702
Phone
(802) 224-3200
NPI assigned
Feb 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 101.0134487 VT Primary
Family Nurse Practitioner 363LF0000X 116762-23 NH

Addresses

Primary practice location

2418 Airport Rd
Barre, VT 05641-8702

Mailing address

167 Middle Rd
Graniteville, VT 05654-8005
Phone (802) 522-4291

Other practice location 1

130 Fisher Rd Unit 1
Berlin, VT 05602-8132
Phone (802) 371-4100

Other practice location 2

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210421000119 VT Practitioner - Nurse Practitioner 7618385220 Reassigns benefits to 3 organizations
I20260508003809 NH Practitioner - Nurse Practitioner 7618385220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gifford Health Care IncGroup PAC ID 2668624982, 37 clinicians

Practice addresses (Care Compare)

1823 VT Rte
Suite 107
Bethel, VT 05032-9107
Phone (802) 234-9913

44 S Main St
Randolph, VT 05060-1381

Hospital & facility affiliations

  • Central Vermont Home Health & Hospice Home health agency, Barre, VT, CCN 477003
  • Gifford Medical Center Hospital, Randolph, VT, CCN 471301
  • Central Vermont Medical Center Hospital, Barre, VT, CCN 470001

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
58.32
Promoting interoperability
100
Improvement activities
40
Cost
66.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116762-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gifford Health Care, Inc CurrentSince Dec 5, 2020 Accepting new patients
Gifford Health Care, Inc CurrentSince Dec 5, 2020 Accepting new patients
Gifford Medical Center Inc. CurrentSince Dec 5, 2020 Accepting new patients
Central Vermont Medical Center Inc CurrentSince Sep 1, 2025 Accepting new patients
Gifford Medical Center Inc CurrentSince Dec 5, 2020 Accepting new patients
Gifford Medical Center PastSince Feb 23, 2020 Accepting new patients
Gifford Health Care, Inc Past Accepting new patients

Locations

130 Fisher Rd
Unit 1
Berlin, VT 05602
Phone (802) 225-1743

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

1823 Vt Rte 107
Bethel, VT 05032
Phone (802) 234-2114

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

Interoperability endpoints

  • Direct secure messaging: atillinghast235856@direct.uvmhealth.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1609409432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 MIDDLE RD",
            "city": "GRANITEVILLE",
            "state": "VT",
            "postal_code": "056548005",
            "telephone_number": "802-522-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 AIRPORT RD",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056418702",
            "telephone_number": "802-224-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Fisher Rd Unit 1",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "VT",
            "postal_code": "056028132",
            "country_code": "US",
            "telephone_number": "802-371-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLINGHAST",
        "first_name": "AZALIAH",
        "middle_name": "HANNAH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0134487",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "116762-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barre, VT

Sources for this page

Verify at the official NPI Registry.