Debra Maloney-Evans, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

101.0017795 Issued in VT

Practice address

87 Paine Mountain Drive
Green Mountain Family Practice
Northfield, VT 05663-0000

Phone

(802) 485-4161

Fax

(802) 485-4163

NPI assigned

Aug 15, 2006

Last updated

Jun 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Green Mountain Family Practice

  • Primary Care Clinic/Center
  • Northfield, VT
  • NPI 1194701623
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1770596991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "address_2": "CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410547",
            "telephone_number": "802-485-4161",
            "fax_number": "802-485-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 PAINE MOUNTAIN DRIVE",
            "address_2": "GREEN MOUNTAIN FAMILY PRACTICE",
            "city": "NORTHFIELD",
            "state": "VT",
            "postal_code": "056630000",
            "telephone_number": "802-485-4161",
            "fax_number": "802-485-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY-EVANS",
        "first_name": "DEBRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0017795",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "VT",
            "license": "101-0017795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray J. Kunkel, DMD
• Lily Elizabeth Lacroix
• Daniel Walter Lavin
• Kari Little, LICSW
• Chelsea Longfellow, MS
• Jennifer Irene Matthews, MS OTR/L
• Mayo Healthcare
• Mayo Healthcare
• Mayo Healthcare Inc
• Mayo Healthcare Inc

• Family Nurse Practitioner in Northfield, VT
• Providers in Northfield, VT by specialty
• Family Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.