NPIMap

Organization Active NPI

Mayo Healthcare

  • Skilled Nursing Facility
  • Northfield, VT
National Provider Identifier
1629457908
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MAYO HEALTHCARE
Practice address
71 Richardson St
Northfield, VT 05663-5644
Phone
(802) 485-3161
Fax
(802) 485-6307
NPI assigned
May 20, 2015
Last updated
Apr 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Shellie Marie Stevens, LNHA
Title
Administrator
Phone
(802) 485-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

71 Richardson St
Northfield, VT 05663-5644

Mailing address

71 Richardson St
Northfield, VT 05663-5644
Phone (802) 485-3161

National Provider Directory

National Provider Directory
Tax ID family
Mayo Healthcare Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

475 Ethan Allen Ave
Colchester, VT 05446
Phone (802) 655-1025

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBFJBD

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1629457908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 RICHARDSON ST",
            "city": "NORTHFIELD",
            "state": "VT",
            "postal_code": "056635644",
            "telephone_number": "802-485-3161",
            "fax_number": "802-485-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 RICHARDSON ST",
            "city": "NORTHFIELD",
            "state": "VT",
            "postal_code": "056635644",
            "telephone_number": "802-485-3161",
            "fax_number": "802-485-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "SHELLIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "802-485-3161",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.