NPIMap

Organization Active NPI

University of Vermont Nursing and Health Sciences Practice Group

  • Adult Health Nurse Practitioner
  • Burlington, VT
National Provider Identifier
1679986327
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 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
Last updated
Nov 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Ms. Rosemary Dale, APRNNPI 1841220191
Title
Clinical Professor
Phone
(802) 656-3830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141031001477 VT Part B Supplier - Clinic/Group Practice 4587885728 Receives reassigned benefits from 15 practitioners
Practice locations: Burlington, VT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D0694226Uvm Nursing and Health Sciences Practice Group1205 North Ave, Burlington, VT 05408Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1205 North Ave
Ste 2
Burlington, VT 05408
Phone (802) 863-1313

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1679986327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054020506",
            "telephone_number": "802-847-0212",
            "fax_number": "802-847-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 NORTH AVE",
            "address_2": "APPLETREE BAY PRIMARY CARE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054082804",
            "telephone_number": "802-863-1313",
            "fax_number": "802-863-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF VERMONT NURSING AND HEALTH SCIENCES PRACTICE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "CLINICAL PROFESSOR",
        "authorized_official_telephone_number": "802-656-3830",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.