University of Vermont Nursing and Health Sciences Practice Group
Organization Active NPI Adult Health Nurse Practitioner · Burlington, VT
NPI 1679986327 · NPPES record last updated Nov 3, 2014
Key facts
- NPI
- 1679986327
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- Legal business name
- UNIVERSITY OF VERMONT NURSING AND HEALTH SCIENCES PRACTICE GROUP
- Practice address
- 1205 North Ave
Appletree Bay Primary Care
Burlington, VT 05408-2804 - Phone
- (802) 863-1313
- Fax
- (802) 863-2396
- NPI assigned
- Jun 10, 2014
- Organization subpart
- No
Authorized official
- Name
- Ms. Rosemary Dale, APRN
- Title
- Clinical Professor
- Phone
- (802) 656-3830
Practitioners 16
-
Margaret Sara Aitken, ANP-BC
-
Rosemary L Dale, NP
-
Andrea T Fossati, M.D.
-
Deborah L Norton, NP
-
Kelsey Rumley, DNP, FNP-C
-
Alyssa Lynne Tonks, DNP, RN
-
Daniel Johannes Weise, APRN
-
Tammy Rainey, NP
-
Danielle Beaudoin, AGNP
-
Rebecca A. Marin, APRN
-
Amber Snow, APRN
-
Deborah S Wachtel, N.P.
-
Jeffrey Warren Rubman, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 47D0694226 | Uvm Nursing and Health Sciences Practice Group | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141031001477 | VT | Part B Supplier - Clinic/Group Practice | 4587885728 |
Receives reassigned benefits from 15 practitioners Practice locations: Burlington, VT |
National Provider Directory
Locations
1205 North Ave
Ste 2
Burlington, VT 05408
Phone (802) 863-1313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner |
363LA2200X | Yes |
Addresses
Primary practice location
1205 North Ave
Appletree Bay Primary Care
Burlington, VT 05408-2804
Mailing address
PO Box 506
Burlington, VT 05402-0506
Phone (802) 847-0212
Other providers in Burlington, VT
- University of Vermont Medical Center Inc
- University of Vermont Medical Center Inc
- University of Vermont Medical Center Inc
- University of Vermont Medical Center Inc
- University of Vermont Medical Center Inc
- Prashasti Upadhyay
- Ruth Esther Uphold
- Jennifer S Uttecht
- Michael F Uzer
- Gopichand Vallabhaneni
All providers in Burlington, VT · Adult Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.