Sarah Grace Gibbs Tadje, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

111 Colchester Ave
Burlington, VT 05401-1473

Phone

(802) 847-4959

NPI assigned

Mar 25, 2024

Last updated

Jul 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1659121424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23005 E DOYLE RD",
            "city": "CATALDO",
            "state": "ID",
            "postal_code": "838109479",
            "telephone_number": "208-661-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADJE",
        "first_name": "SARAH",
        "middle_name": "GRACE GIBBS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Mae Szotka, MS
• Marielena Louisa Szumowski, LICSW
• Diane Tabachnick, PA-C
• Kreager Anne Taber, MD
• Jacob Miller Tadje
• Tage Lilja Licsw PLC
• Michelle Tahair, BCBA
• Amanda Marie Talbert, LCMHC
• Talk of the Town, LLC (Snow Beast Performance)
• James M Tallmadge, PH.D.

• Student in an Organized Health Care Education/Training Program in Burlington, VT
• Providers in Burlington, VT by specialty
• Student in an Organized Health Care Education/Training Program in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.