Organization Active NPI

Veterans Hospital, WRJ

  • Surgical Physician Assistant
  • White River Junction, VT
National Provider Identifier
1770505661
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
343 Issued in NH
Legal business name
VETERANS HOSPITAL, WRJ
Practice address
215 N Main St
White River Junction, VT 05009-0001
Phone
(802) 295-9369
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Anne Therese Michaels, PA-C
Title
Surgical PA
Phone
(802) 295-9363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X 343 NH Primary

Addresses

Primary practice location

215 N Main St
White River Junction, VT 05009-0001

Mailing address

166 Edson Burke Rd
West Windsor, VT 05089-4411
Phone (802) 484-7897

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770505661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 EDSON BURKE RD",
            "city": "WEST WINDSOR",
            "state": "VT",
            "postal_code": "050894411",
            "telephone_number": "802-484-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N MAIN ST",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050090001",
            "telephone_number": "802-295-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS HOSPITAL, WRJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "SURGICAL PA",
        "authorized_official_telephone_number": "802-295-9363",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "NH",
            "license": "343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.