Active NPI
Tammy S Devereux, APRN
- Adult Health Nurse Practitioner
- Rutland, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 101.0135875
- Practice address
- 79 Center St Ste 1-1
Rutland, VT 05701-4061 - Phone
- (802) 772-7107
- Fax
- (802) 772-9003
- NPI assigned
- Dec 12, 2022
- Last updated
- Feb 24, 2025
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 101.0135875 | VT | Primary |
Addresses
Primary practice location
79 Center St Ste 1-1
Rutland, VT 05701-4061
Mailing address
30 Grape St
Fair Haven, VT 05743-1049
Phone (802) 772-7107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
79 Ctr St
Suite 1 1
Rutland, VT 05701-4061
Phone (802) 772-7107
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101.0135875 | VT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taconic Essential Primary Care | Adult Health | Current | Accepting new patients |
| True Care Vermont, LLC | Current | Accepting new patients | |
| Aim Healthcare Providers VT, LLC | Current | Accepting new patients | |
| Medical Director Services PC | Current | Accepting new patients |
Locations
161 E Rivulon Blvd
Ste 210
Gilbert, AZ 85297
Phone (480) 244-1724
50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789
831 Bedford Ave
Brooklyn, NY 11205
1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908
9 Commons St
Rutland, VT 05701
Phone (802) 779-4321
725 Community Dr
Ste 302
South Burlington, VT 05403
Organizations & group practices 4
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.
-
- Primary Care Nurse Practitioner
- Rutland, VT
- NPI 1023829876
Adult Health
-
- Family Medicine Physician
- Rutland, VT
- NPI 1073261350
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
NY
-
- Family Medicine Physician
- South Burlington, VT
- NPI 1649014705
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Rutland Regional Medical Center
- General Acute Care Hospital
- Rutland, VT
- NPI 1720042203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1609587492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 GRAPE ST",
"city": "FAIR HAVEN",
"state": "VT",
"postal_code": "057431049",
"telephone_number": "802-772-7107",
"fax_number": "802-772-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 CENTER ST STE 1-1",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014061",
"telephone_number": "802-772-7107",
"fax_number": "802-772-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVEREUX",
"first_name": "TAMMY",
"middle_name": "S",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VT",
"license": "101.0135875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 24, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.