Kathryn R George, APRN-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · South Burlington, VT
NPI 1629307111 · NPPES record last updated Mar 31, 2026
Key facts
- NPI
- 1629307111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 101.0062051 (VT)
- Practice address
- 56 W Twin Oaks Ter Ste 5
South Burlington, VT 05403-7138 - Phone
- (802) 651-9880
- NPI assigned
- Dec 14, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Vermont College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Supportive Care of Vermont LLC
Practice addresses (Care Compare)
1478 Huntington Rd
Richmond, VT 05477-9726
Phone (718) 298-4375
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100708000972 | VT | Practitioner - Nurse Practitioner | 5395876387 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111083-23 | NH | MD | Psychiatric/Mental Health Nurse Practitioner |
| 101.0062051 | VT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care of Vermont LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| State of Vermont | Current |
Accepting new patients | |
| State of Vermont | Current |
Accepting new patients | |
| Synergy Counseling Group, LLC | Past | Accepting new patients | |
| Synergy Counseling Group, LLC | Past | Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
350 Fisher Rd
Montpelier, VT 05633
Phone (802) 828-3300
166 Horseshoe Dr
Waterbury, VT 05671
280 State Dr
#2
Waterbury, VT 05671
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 101.0062051 | VT | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 111083-23 | NH |
Addresses
Primary practice location
56 W Twin Oaks Ter Ste 5
South Burlington, VT 05403-7138
Mailing address
56 W Twin Oaks Ter Ste 5
South Burlington, VT 05403-7138
Other practice location 1
1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5000
Other providers in South Burlington, VT
- Avery McCoy Gardner
- Rachel M Garnett
- Abby Gelfer
- Jill Marie Geoffrion
- Derek Andrew George
- Nicole George
- William T Gerson
- Get Healthy Vermont, PC
- Get Well Inc
- Emma Getty
All providers in South Burlington, VT · Psychiatric/Mental Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.