Kellie Larochelle, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

055.0031262 Issued in VT

Practice address

331 Olcott Dr
Suite U3
White River Junction, VT 05001-9601

Phone

(802) 295-6132

Fax

(802) 295-1358

NPI assigned

Aug 6, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dartmouth-Hitchcock Clinic

  • Internal Medicine Physician
  • Lebanon, NH
  • NPI 1548210198
  NPD (past)

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1699151266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 OLCOTT DR",
            "address_2": "SUITE U3",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050019601",
            "telephone_number": "802-295-6132",
            "fax_number": "802-295-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 OLCOTT DR",
            "address_2": "SUITE U3",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050019601",
            "telephone_number": "802-295-6132",
            "fax_number": "802-295-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCHELLE",
        "first_name": "KELLIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055.0031262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Lambert, MD
• Frank Landino, D.O.
• Jessica Lange, L.AC
• Kathleen Curtin Langille, RN
• Eileen Frances Lanza, LCMHC
• Patrica E Laucks, MSW
• Moira Anne Lawlor, PA-C
• Daniel Francis Leary III, LICSW
• Amber J Leavitt, LCMHC
• Kendall L Lee, RN

• Physician Assistant in White River Junction, VT
• Providers in White River Junction, VT by specialty
• Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.