Individual provider Active NPI

Joan M Attig, A.P.R.N.

  • Gerontology Nurse Practitioner
  • Rutland, VT
National Provider Identifier
1760457212
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
101-0025776 Issued in VT
Practice address
9 Haywood Ave
Mountain View Center
Rutland, VT 05701-4832
Phone
(802) 775-0007
Fax
(802) 775-6895
NPI assigned
Feb 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Gerontology Nurse Practitioner 363LG0600X 101-0025776 VT Primary

Addresses

Primary practice location

9 Haywood Ave
Mountain View Center
Rutland, VT 05701-4832

Mailing address

693 Victoria Dr
Rutland, VT 05701-9134
Phone (802) 747-7795

Other identifiers 1

IdentifierTypeStateIssuer
1011900MedicaidVT

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
I20051006000948 VT Practitioner - Nurse Practitioner 1850316076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutland Hospital, Inc.Group PAC ID 7214846377, 186 clinicians

Practice addresses (Care Compare)

160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111

51 A Tennis Way
Rutland Regional Medical Center
East Dorset, VT 05253-4410
Phone (802) 366-8195

6 Commons St
Rutland, VT 05701-4651
Phone (802) 775-1903

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101-0025776VTMDGerontology Nurse Practitioner

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.

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760457212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 VICTORIA DR",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057019134",
            "telephone_number": "802-747-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HAYWOOD AVE",
            "address_2": "MOUNTAIN VIEW CENTER",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014832",
            "telephone_number": "802-775-0007",
            "fax_number": "802-775-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTIG",
        "first_name": "JOAN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VT",
            "license": "101-0025776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011900",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.