Individual provider Active NPI

Alexandra Peters, NPMA

  • Internal Medicine Physician
  • Newport, VT
National Provider Identifier
1669978094
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
101-0134136 Issued in VT
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

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
101-0134136VTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Aug 1, 2024 Accepting new patients
North Country Hospital & Health Center Inc Internal Medicine CurrentSince May 13, 2018 Accepting new patients
North Country Hospital & Health Center Inc Current Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Aug 1, 2024 Accepting new patients
North Country Hospital & Health Center Inc Current Accepting new patients
Northern Counties Health Care, Inc. CurrentSince Dec 19, 2022 Accepting new patients
Northern Counties Health Care Inc CurrentSince Dec 19, 2022 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.

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

Verify at the official NPI Registry.