Individual provider Active NPI

Amy A Buzzi, NP

  • Adult Health Nurse Practitioner
  • Berlin, VT
National Provider Identifier
1619915568
Registry record updated Apr 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
101.0019055 Issued in VT
Practice address
142 Woodridge Rd
Berlin, VT 05602-9165
Phone
(802) 371-4700
Fax
(802) 371-4491
NPI assigned
Jun 3, 2006
Last updated
Apr 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 101.0019055 VT Primary
Adult Health Nurse Practitioner 363LA2200X APRN02316 RI
Gerontology Nurse Practitioner 363LG0600X APRN02316 RI

Addresses

Primary practice location

142 Woodridge Rd
Berlin, VT 05602-9165

Mailing address

PO Box 547
Att: CVMC Finance Dept
Barre, VT 05641-0547
Phone (802) 371-4700

Other practice location 1

1085 N Main St
Providence, RI 02904-5719
Phone (401) 415-4618

Other identifiers 1

IdentifierTypeStateIssuer
ONP0626MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200623001572 RI Practitioner - Nurse Practitioner 5890720957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1085 N Main St
Providence, RI 02904-5719
Phone (401) 415-4275

15 Sumner Brown Rd
Cumberland, RI 02864-1214
Phone (401) 333-6352

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-2500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Hospice & Palliative Care CurrentSince Jun 7, 2020 Accepting new patients
Hopehealth Hospice & Palliative Care CurrentSince Jun 7, 2020 Accepting new patients

Locations

1085 N Main St
Providence, RI 02904
Phone (401) 415-4200

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587168000000",
    "number": "1619915568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "address_2": "ATT: CVMC FINANCE DEPT",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410547",
            "telephone_number": "802-371-4700",
            "fax_number": "802-371-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 WOODRIDGE RD",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029165",
            "telephone_number": "802-371-4700",
            "fax_number": "802-371-4491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1085 N Main St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029045719",
            "country_code": "US",
            "telephone_number": "401-415-4618",
            "fax_number": "401-415-4348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUZZI",
        "first_name": "AMY",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VT",
            "license": "101.0019055",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "APRN02316",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "RI",
            "license": "APRN02316",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ONP0626",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

Verify at the official NPI Registry.