Active NPI
Alexandra Peters, NPMA
- Internal Medicine Physician
- Newport, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 101-0134136
- Practice address
- 186 Medical Village Drive
Newport, VT 05855-9326 - Phone
- (802) 334-3520
- Fax
- (802) 334-3512
- NPI assigned
- Apr 4, 2018
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 101-0134136 | VT | Primary |
Addresses
Primary practice location
186 Medical Village Drive
Newport, VT 05855-9326
Mailing address
186 Medical Village Drive
Suite 1
Newport, VT 05855-9326
Phone (802) 334-3520
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alexandra.peters.1@15991.direct.athenahealth.com | ||
| Direct Messaging Address | alexandra.peters.1@15991.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180627000255 | VT | Practitioner - Nurse Practitioner | 2163778556 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101-0134136 | VT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| North Country Hospital & Health Center Inc | Internal Medicine | Current | Accepting new patients |
| North Country Hospital & Health Center Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc. | Current | Accepting new patients | |
| North Country Hospital & Health Center Inc | Current | Accepting new patients | |
| Northern Counties Health Care, Inc. | Current | Accepting new patients | |
| Northern Counties Health Care Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc. | Past | Accepting new patients |
Locations
488 Elm St
Barton, VT 05822
Phone (802) 525-3539
26 Cedar Ln
Danville, VT 05828
Phone (802) 684-2275
186 Medical Village Dr
#1
Newport, VT 05855
Phone (802) 334-3262
137 Main St
Ste 102
Newport, VT 05855
Phone (802) 995-2412
189 Prouty Dr
Newport, VT 05855
Phone (802) 334-3569
186 Medical Village Dr
Newport, VT 05855
Phone (802) 334-3520
97 Sherman Dr
#1
St Johnsbury, VT 05819
Phone (802) 748-5131
97 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-3722
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Newport, VT
- NPI 1417023904
Internal Medicine, VT
-
- Primary Care Clinic/Center
- St Johnsbury, VT
- NPI 1487732301
VT
-
- Federally Qualified Health Center (FQHC)
- St Johnsbury, VT
- NPI 1649236225
VT
-
- Obstetrics & Gynecology Physician
- Newport, VT
- NPI 1295868008
-
- Surgery Physician
- Newport, VT
- NPI 1679551238
-
- Podiatrist
- St Johnsbury, VT
- NPI 1710631635
-
- Federally Qualified Health Center (FQHC)
- Newport, VT
- NPI 1003564931
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1326080268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1669978094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 MEDICAL VILLAGE DRIVE",
"address_2": "SUITE 1",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058559326",
"telephone_number": "802-334-3520",
"fax_number": "802-334-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 MEDICAL VILLAGE DRIVE",
"city": "NEWPORT",
"state": "VT",
"postal_code": "058559326",
"telephone_number": "802-334-3520",
"fax_number": "802-334-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "ALEXANDRA",
"credential": "NPMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VT",
"license": "101-0134136",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alexandra.peters.1@15991.direct.athenahealth.com",
"affiliation": "N",
"address_1": "186 Medical Village Drive",
"city": "Newport",
"state": "VT",
"country_code": "US",
"postal_code": "058559326",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alexandra.peters.1@15991.direct.athenahealth.com",
"affiliation": "N",
"address_1": "186 Medical Village Drive",
"city": "Newport",
"state": "VT",
"country_code": "US",
"postal_code": "058559326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newport, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.