Individual provider Active NPI

Carol L Blattspieler, NP

  • Nurse Practitioner
  • S Burlington, VT
National Provider Identifier
1720012388
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
101-0014072 Issued in VT
Practice address
6 San Remo Dr.
Uvm Medical Center - Orthopedics
S. Burlington, VT 05403
Phone
(802) 862-3983
Fax
(802) 863-7994
NPI assigned
Jul 10, 2006
Last updated
Mar 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 101-0014072 VT Primary

Addresses

Primary practice location

6 San Remo Dr.
Uvm Medical Center - Orthopedics
S. Burlington, VT 05403

Mailing address

6 San Remo Dr.
Uvm Medical Center - Orthopedics
S. Burlington, VT 05403
Phone (802) 862-3983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622001073 VT Practitioner - Nurse Practitioner 3779528500 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
101-0014072VTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc CurrentSince Mar 1, 2016 Accepting new patients

Locations

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

6 San Remo Dr
South Burlington, VT 05403
Phone (802) 862-3983

6 San Remo Dr
Ste 101
South Burlington, VT 05403
Phone (802) 862-3983

Interoperability endpoints

  • Direct secure messaging: cblattspieler138639@direct.uvmhealth.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1720012388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SAN REMO DR.",
            "address_2": "UVM MEDICAL CENTER - ORTHOPEDICS",
            "city": "S. BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-862-3983",
            "fax_number": "802-863-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SAN REMO DR.",
            "address_2": "UVM MEDICAL CENTER - ORTHOPEDICS",
            "city": "S. BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-862-3983",
            "fax_number": "802-863-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATTSPIELER",
        "first_name": "CAROL",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101-0014072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in S Burlington, VT

Sources for this page

Verify at the official NPI Registry.