Active NPI
Dianne Carol Pierson, MD
- Psychiatry Physician
- Burlington, VT
National Provider Identifier
1639240070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0420004842
- Practice address
- 168 Battery St
Burlington, VT 05401-5285 - Phone
- (802) 862-0836
- Fax
- (802) 860-2399
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0420004842 | VT | Primary |
Addresses
Primary practice location
168 Battery St
Burlington, VT 05401-5285
Mailing address
168 Battery St
Burlington, VT 05401-5285
Phone (802) 862-0836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VT4557 | Other | VT | BCBS |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420004842 | VT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1639240070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 BATTERY ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054015285",
"telephone_number": "802-862-0836",
"fax_number": "802-860-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 BATTERY ST",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054015285",
"telephone_number": "802-862-0836",
"fax_number": "802-860-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERSON",
"first_name": "DIANNE",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "0420004842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "VT4557",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.