Individual provider Active NPI

Cynthia Harris, APRN

  • Nurse Practitioner
  • Londonderry, VT
National Provider Identifier
1609970078
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
101-0033982 Issued in VT
Practice address
38 RT 11
Mountain Valley Health Center
Londonderry, VT 05148
Phone
(802) 824-6901
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 101-0033982 VT Primary

Addresses

Primary practice location

38 RT 11
Mountain Valley Health Center
Londonderry, VT 05148

Mailing address

PO Box 310
Mountain Valley Health Center
Londonderry, VT 05148-0310
Phone (802) 824-6901

Other identifiers 1

IdentifierTypeStateIssuer
101-0033982OtherVTSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Valley Health Council Inc Past Accepting new patients
University Healthcare System, LC Past Accepting new patients
Mountain Valley Health Council Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609970078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "address_2": "MOUNTAIN VALLEY HEALTH CENTER",
            "city": "LONDONDERRY",
            "state": "VT",
            "postal_code": "051480310",
            "telephone_number": "802-824-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 RT 11",
            "address_2": "MOUNTAIN VALLEY HEALTH CENTER",
            "city": "LONDONDERRY",
            "state": "VT",
            "postal_code": "05148",
            "telephone_number": "802-824-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CYNTHIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101-0033982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "101-0033982",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.