Organization Active NPI

Green Mountain Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Shelburne, VT
National Provider Identifier
1609737659
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
GREEN MOUNTAIN ANESTHESIA, LLC
Practice address
145 Pine Haven Shores Rd Ste 1000a
Shelburne, VT 05482-7812
Phone
(978) 514-3405
NPI assigned
Nov 19, 2025
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Sephra Leger, DNPNPI 1003362344
Title
Ceo
Phone
(978) 514-3405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

145 Pine Haven Shores Rd Ste 1000a
Shelburne, VT 05482-7812

Mailing address

145 Pine Haven Shores Rd Ste 1000a
Shelburne, VT 05482-7812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260225002538 VT Part B Supplier - Clinic/Group Practice 0345721585 Receives reassigned benefits from 1 practitioner
Practice locations: Shelburne, VT

National Provider Directory

National Provider Directory

Locations

145 Pine Haven Shores Rd
#1000A
Shelburne, VT 05482
Phone (984) 310-9811

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1609737659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PINE HAVEN SHORES RD STE 1000A",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PINE HAVEN SHORES RD STE 1000A",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827812",
            "telephone_number": "978-514-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "LEGER",
        "authorized_official_first_name": "SEPHRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-514-3405",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelburne, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.