NPIMap

Organization Active NPI

North East Kingdom Community Action, Inc.

  • Case Management Agency
  • St Johnsbury, VT
National Provider Identifier
1629700497
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
NORTH EAST KINGDOM COMMUNITY ACTION, INC.
Practice address
115 Lincoln St
St Johnsbury, VT 05819-2449
Phone
(802) 748-6040
NPI assigned
Jun 29, 2022
Last updated
Jun 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Sally Devan
Title
Accounting Manager
Phone
(802) 424-2797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

115 Lincoln St
St Johnsbury, VT 05819-2449

Mailing address

PO Box 346
Newport, VT 05855-0346
Phone (803) 424-2797

National Provider Directory

National Provider Directory
Tax ID family
Nekca4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

115 Lincoln St
St Johnsbury, VT 05819
Phone (802) 323-2513

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": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1629700497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 346",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058550346",
            "telephone_number": "803-424-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LINCOLN ST",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058192449",
            "telephone_number": "802-748-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST KINGDOM COMMUNITY ACTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "DEVAN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "802-424-2797"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.