Individual provider Active NPI

Holly T Whitcomb, APRN NP FNP

  • Family Medicine Physician
  • Hinesburg, VT
National Provider Identifier
1750471561
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1010023428 Issued in VT
Practice address
22 Commerce St
Unit 10
Hinesburg, VT 05461
Phone
(802) 482-3200
Fax
(802) 482-5238
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1010023428 VT Primary

Addresses

Primary practice location

22 Commerce St
Unit 10
Hinesburg, VT 05461

Mailing address

PO Box 250
Hinesburg, VT 05461
Phone (802) 482-3200

Other identifiers 3

IdentifierTypeStateIssuer
1009171MedicaidVT
68575OtherVTBCBS OF VT
361502OtherMVP

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
I20050720000175 VT Practitioner - Nurse Practitioner 6507893732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

22 Commerce St
Hinesburg, VT 05461-9303
Phone (802) 482-3200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1010023428VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Primary Care PLLC Current Accepting new patients
University of Vermont Medical Center Inc Family Medicine CurrentSince Aug 1, 2010 Accepting new patients
Hinesburg Family Health PC Family Medicine Past Accepting new patients

Locations

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

37 Haystack Rd
Hinesburg, VT 05461
Phone (802) 847-4322

22 Commerce St
Unit 10
Hinesburg, VT 05461
Phone (802) 482-3200

22 Commerce St
Hinesburg, VT 05461
Phone (207) 361-4534

Interoperability endpoints

  • Direct secure messaging: hwhitcomb15425@direct.uvmhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750471561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "HINESBURG",
            "state": "VT",
            "postal_code": "05461",
            "telephone_number": "802-482-3200",
            "fax_number": "802-482-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 COMMERCE ST",
            "address_2": "UNIT 10",
            "city": "HINESBURG",
            "state": "VT",
            "postal_code": "05461",
            "telephone_number": "802-482-3200",
            "fax_number": "802-482-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITCOMB",
        "first_name": "HOLLY",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "APRN NP FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "1010023428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009171",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF VT",
            "identifier": "68575",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "361502",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesburg, VT

Sources for this page

Verify at the official NPI Registry.