Individual provider Active NPI

Kara Pool-Krok-Horton

  • Family Nurse Practitioner
  • St Johnsbury, VT
National Provider Identifier
1760835367
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101-0122936 Issued in VT
Practice address
97 Sherman Dr
St Johnsbury, VT 05819-9280
Phone
(802) 748-5131
Fax
(802) 748-4237
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 026.0056668 VT
Family Nurse Practitioner 363LF0000X 101-0122936 VT Primary

Addresses

Primary practice location

97 Sherman Dr
St Johnsbury, VT 05819-9280

Mailing address

97 Sherman Dr
St Johnsbury, VT 05819-9280
Phone (802) 748-5131

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
I20170309001080 VT Practitioner - Nurse Practitioner 0941584015 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026.0056668VTMDRegistered Nurse
101-0122936VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc. Current Accepting new patients
Northwestern Medical Center Inc CurrentSince Dec 10, 2020 Accepting new patients
Northwestern Medical Center, Inc CurrentSince Dec 10, 2020 Accepting new patients
Porter Hospital, Inc CurrentSince Aug 12, 2019 Accepting new patients
Rainbow Pediatrics Past Accepting new patients

Locations

44 Center St
Enosburg Falls, VT 05450
Phone (802) 527-8189

99 Court St
Ste 1
Middlebury, VT 05753
Phone (802) 388-1338

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

11 Crest Rd
Saint Albans, VT 05478
Phone (802) 527-8189

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1760835367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 SHERMAN DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199280",
            "telephone_number": "802-748-5131",
            "fax_number": "802-748-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 SHERMAN DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199280",
            "telephone_number": "802-748-5131",
            "fax_number": "802-748-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL-KROK-HORTON",
        "first_name": "KARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "026.0056668",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101-0122936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

Verify at the official NPI Registry.