Stephanie J Landvater, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

042000860 Issued in VT

Practice address

2418 Airport Rd Ste C
Barre, VT 05641-8702

Phone

(802) 881-5137

Fax

(802) 433-5070

NPI assigned

Oct 7, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1689662215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 CHAPMAN LN",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957770",
            "telephone_number": "802-881-5137",
            "fax_number": "802-433-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 AIRPORT RD STE C",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056418702",
            "telephone_number": "802-881-5137",
            "fax_number": "802-433-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDVATER",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VT",
            "license": "042000860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN0439",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689662215",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD/VT",
            "identifier": "18693",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "18304",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Bruns Krussman, PT
• Ayako Kuki, DNP
• Brian Labelle, OTR/L
• Natasha M. Lachance, BSW
• Ciara Landry, LCMHC
• Kayla M. Laprade, AS
• Rachel A.N. Larocca, MD
• Haley Lary, BA
• Kaitlyne Mae Latour
• Rachel Lavoie, RN

• Orthopaedic Surgery Physician in Barre, VT
• Providers in Barre, VT by specialty
• Orthopaedic Surgery Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.