Active NPI
Mary K Joyce, MD
- Family Medicine Physician
- Windsor, VT
National Provider Identifier
1760448450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 042-0011915
- Practice address
- 289 County Rd
Mt Ascutney Physician Practices
Windsor, VT 05089 - Phone
- (802) 674-7344
- Fax
- (802) 674-7314
- NPI assigned
- Apr 22, 2006
- Last updated
- Feb 23, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8165 | NH | |
| Family Medicine Physician | 207Q00000X | 042-0011915 | VT | Primary |
Addresses
Primary practice location
289 County Rd
Mt Ascutney Physician Practices
Windsor, VT 05089
Mailing address
289 County Rd
Mt Ascutney Physician Practices
Windsor, VT 05089
Phone (802) 674-7344
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105052YPNH01 | Other | NH | BCBS |
| P080088013 | Other | NH | RAILROAD MEDICARE |
| 000118 | Medicaid | VT | |
| 30003009 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0011915 | VT | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1760448450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 COUNTY RD",
"address_2": "MT ASCUTNEY PHYSICIAN PRACTICES",
"city": "WINDSOR",
"state": "VT",
"postal_code": "05089",
"telephone_number": "802-674-7344",
"fax_number": "802-674-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 COUNTY RD",
"address_2": "MT ASCUTNEY PHYSICIAN PRACTICES",
"city": "WINDSOR",
"state": "VT",
"postal_code": "05089",
"telephone_number": "802-674-7344",
"fax_number": "802-674-7314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOYCE",
"first_name": "MARY",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-22",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "8165",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VT",
"license": "042-0011915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0105052YPNH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P080088013",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000118",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003009",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windsor, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.