Tyler Proulx, PRSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

79 Court St
Middlebury, VT 05753-1406

Phone

(802) 388-4249

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Fable Bellamy Hawthorne Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1679487714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 LINDALE CIR",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538562",
            "telephone_number": "802-825-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 COURT ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531406",
            "telephone_number": "802-388-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROULX",
        "first_name": "TYLER",
        "credential": "PRSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FABLE",
            "last_name": "HAWTHORNE",
            "middle_name": "BELLAMY",
            "credential": "PRSS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Powers, PHARMD
• Stephanie Powers
• Joseph W Prather, LCMHC
• Kelly Frances Pratt, PHARMD
• Louisa Veazie Pratt, NP
• Leslie Putman, PA
• Heying Lily Qian, RPH
• Daniel S Raabe, MD
• Jessica S Racusin, MD
• Emma West Radler, PA-C

• Peer Specialist in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Peer Specialist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.