Individual provider Active NPI

Sarah Ann Mutar, NP

  • Adult Health Nurse Practitioner
  • Richford, VT
National Provider Identifier
1750890463
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
101.0127137 Issued in VT
Practice address
44 Main St Ste 200
Richford, VT 05476-1141
Phone
(802) 255-5500
NPI assigned
Sep 26, 2017
Last updated
Oct 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 101.0127137 VT Primary
Registered Nurse 163W00000X 026.0078127 VT

Addresses

Primary practice location

44 Main St Ste 200
Richford, VT 05476-1141

Mailing address

22 Little Eagle Bay
Burlington, VT 05408-2782
Phone (802) 881-5498

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
I20171114001587 VT Practitioner - Nurse Practitioner 4486910106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026.0078127VTMDRegistered Nurse
101.0127137VTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Specialists of Vermont PLC CurrentSince May 31, 2022 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Aug 28, 2024 Accepting new patients
The Richford Health Center Inc PastSince Sep 5, 2023 Accepting new patients

Locations

9825 S Jordan Gtwy
Sandy, UT 84070

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

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

601 Red Village Rd
Lyndonville, VT 05851
Phone (802) 626-3361

35 Bel Aire Dr
Newport, VT 05855
Phone (802) 334-2878

Interoperability endpoints

  • Direct secure messaging: smutar72931@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1750890463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LITTLE EAGLE BAY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054082782",
            "telephone_number": "802-881-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MAIN ST STE 200",
            "city": "RICHFORD",
            "state": "VT",
            "postal_code": "054761141",
            "telephone_number": "802-255-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTAR",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VT",
            "license": "101.0127137",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "026.0078127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richford, VT

Sources for this page

Verify at the official NPI Registry.