Individual provider Active NPI

Ann Kobylenski Sanderson

  • Medical-Surgical Registered Nurse
  • Reading, VT
National Provider Identifier
1780300202
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
026.0135714 Issued in VT
Practice address
756 Brown Schoolhouse Rd
Reading, VT 05062
Phone
(802) 345-0801
NPI assigned
Oct 17, 2022
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 026.0135714 VT Primary

Addresses

Primary practice location

756 Brown Schoolhouse Rd
Reading, VT 05062

Mailing address

PO Box 108
Reading, VT 05062-0108
Phone (802) 345-0801

Other names 1

  • Ann Kobylenski Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
026.0135714VTMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1780300202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108",
            "city": "READING",
            "state": "VT",
            "postal_code": "050620108",
            "telephone_number": "802-345-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 BROWN SCHOOLHOUSE RD",
            "city": "READING",
            "state": "VT",
            "postal_code": "05062",
            "telephone_number": "802-345-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBYLENSKI SANDERSON",
        "first_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "VT",
            "license": "026.0135714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "KOBYLENSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reading, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.