NPIMap

Organization Active NPI

Community Health Centers of Burlington Inc

  • Family Medicine Physician
  • Burlington, VT
National Provider Identifier
1689678963
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24908 Issued in VT
Legal business name
COMMUNITY HEALTH CENTERS OF BURLINGTON INC
Practice address
617 Riverside Ave
Burlington, VT 05401-1601
Phone
(802) 264-8159
Fax
(802) 860-4325
NPI assigned
Jun 2, 2005
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Justine Hope Hesseltine
Title
Director of Revenue Cycle
Phone
(802) 264-8193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 24908 VT Primary

Addresses

Primary practice location

617 Riverside Ave
Burlington, VT 05401-1601

Mailing address

617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 264-8193

Other practice location 1

84 Pine St Fl 2
Burlington, VT 05401-4441
Phone (802) 864-7423

Other practice location 2

76 Glen Rd
Burlington, VT 05401-4131
Phone (802) 864-7427

Other practice location 3

32 Malletts Bay Ave Ste B
Winooski, VT 05404-1960
Phone (802) 655-4422

Other practice location 4

300 Pearl St
Burlington, VT 05401-8531
Phone (802) 658-4200

Other practice location 5

789 Pine St
Burlington, VT 05401-4924
Phone (802) 864-0693

Other practice location 6

52 Community Ln
South Hero, VT 05486-4418
Phone (802) 372-5132

Other practice location 7

368 Dorset St Ste 1
South Burlington, VT 05403-6236
Phone (802) 860-7070

Other practice location 8

87 Main St
Essex Junction, VT 05452-3234
Phone (802) 864-6309

Other practice location 9

179 Pearl St
Burlington, VT 05401-3704
Phone (802) 652-1080

Other practice location 10

184 S Winooski Ave
Burlington, VT 05401-4535
Phone (802) 860-4310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040720000792 VT Part B Supplier - Clinic/Group Practice 2062491251 Receives reassigned benefits from 97 practitioners
Practice locations: Burlington, VT; Winooski, VT; South Hero, VT; South Burlington, VT; Essex Junction, VT
O20220401000122 VT Part A Provider - Federally Qualified Health Center (FQHC) 2062491251 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Essex Junction, VT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689678963. Details of each certification follow.

Federally qualified health center certification: CCN 471880

Legal name
COMMUNITY HEALTH CENTERS OF BURLINGTON INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 2, 2022
Last certification
Aug 2, 2022
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Aug 1, 1971 in VT
Enrollment address
87 Main St
Essex Junction, VT 54523234

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

179 Pearl St
Burlington, VT 05401
Phone (802) 652-1080

184 S Winooski Ave
Burlington, VT 05401
Phone (802) 860-4310

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Heather Danis Individual Corporate DirectorDirector Oct 1, 2017
Justine Hesseltine Individual Corporate Director Aug 15, 2025
W-2 Managing Employee Aug 15, 2025
Rob a Gibson Individual Corporate OfficerPresident Oct 1, 2016
Patricia Gratton Individual Corporate Officer Jan 1, 2025
W-2 Managing Employee Jan 1, 2025
Holly a Moriglioni Individual Corporate OfficerSecretary Oct 1, 2015

Practitioners & affiliated clinicians

Practitioners 109

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 109

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1689678963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 RIVERSIDE AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011601",
            "telephone_number": "802-264-8193",
            "fax_number": "802-860-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 RIVERSIDE AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011601",
            "telephone_number": "802-264-8159",
            "fax_number": "802-860-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 Pine St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054014441",
            "country_code": "US",
            "telephone_number": "802-864-7423",
            "fax_number": "833-857-8969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "76 Glen Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054014131",
            "country_code": "US",
            "telephone_number": "802-864-7427",
            "fax_number": "802-864-1619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 Malletts Bay Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Winooski",
            "state": "VT",
            "postal_code": "054041960",
            "country_code": "US",
            "telephone_number": "802-655-4422",
            "fax_number": "802-860-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054018531",
            "country_code": "US",
            "telephone_number": "802-658-4200",
            "fax_number": "802-658-4201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "789 Pine St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054014924",
            "country_code": "US",
            "telephone_number": "802-864-0693",
            "fax_number": "802-860-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Community Ln",
            "address_purpose": "LOCATION",
            "city": "South Hero",
            "state": "VT",
            "postal_code": "054864418",
            "country_code": "US",
            "telephone_number": "802-372-5132",
            "fax_number": "802-860-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "368 Dorset St Ste 1",
            "address_purpose": "LOCATION",
            "city": "South Burlington",
            "state": "VT",
            "postal_code": "054036236",
            "country_code": "US",
            "telephone_number": "802-860-7070",
            "fax_number": "802-860-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "87 Main St",
            "address_purpose": "LOCATION",
            "city": "Essex Junction",
            "state": "VT",
            "postal_code": "054523234",
            "country_code": "US",
            "telephone_number": "802-864-6309",
            "fax_number": "802-860-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "179 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054013704",
            "country_code": "US",
            "telephone_number": "802-652-1080",
            "fax_number": "802-860-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "184 S Winooski Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054014535",
            "country_code": "US",
            "telephone_number": "802-860-4310",
            "fax_number": "802-860-4324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTERS OF BURLINGTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "HESSELTINE",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "802-264-8193"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "24908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.