Active NPI
Heather Washburn, MA,LP
- Psychologist
- South Burlington, VT
National Provider Identifier
1750949400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 047-0124533
- Practice address
- 1025 Airport Dr
South Burlington, VT 05403-6013 - Phone
- (802) 488-6000
- Fax
- (802) 488-6919
- NPI assigned
- May 29, 2019
- Last updated
- May 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 047-0124533 | VT | Primary |
Addresses
Primary practice location
1025 Airport Dr
South Burlington, VT 05403-6013
Mailing address
208 Flynn Ave Ste 3J
Burlington, VT 05401-5420
Phone (802) 488-6934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047-0124533 | VT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1750949400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 FLYNN AVE STE 3J",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054015420",
"telephone_number": "802-488-6934",
"fax_number": "802-488-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 AIRPORT DR",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054036013",
"telephone_number": "802-488-6000",
"fax_number": "802-488-6919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHBURN",
"first_name": "HEATHER",
"credential": "MA,LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "047-0124533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.