Active NPI
Madelyn Hamilton, NP
- Family Nurse Practitioner
- Barre, VT
National Provider Identifier
1780638387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 101-0017211
- Practice address
- 14 N Main St Ste 4002
Granite City Primary Care
Barre, VT 05641-4513 - Phone
- (802) 479-2546
- Fax
- (802) 479-1346
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 1010017211 | VT | |
| Family Nurse Practitioner | 363LF0000X | 101-0017211 | VT | Primary |
Addresses
Primary practice location
14 N Main St Ste 4002
Granite City Primary Care
Barre, VT 05641-4513
Mailing address
PO Box 547
Att: CVMC Finance Dept
Barre, VT 05641-0547
Phone (802) 479-2546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ONP1399 | Medicaid | VT |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101-0017211 | VT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Northern New England | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Non-Pharmacy Dispensing Site
- Barre, VT
- NPI 1851782015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1780638387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"address_2": "ATT: CVMC FINANCE DEPT",
"city": "BARRE",
"state": "VT",
"postal_code": "056410547",
"telephone_number": "802-479-2546",
"fax_number": "802-479-1346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 N MAIN ST STE 4002",
"address_2": "GRANITE CITY PRIMARY CARE",
"city": "BARRE",
"state": "VT",
"postal_code": "056414513",
"telephone_number": "802-479-2546",
"fax_number": "802-479-1346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "MADELYN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "VT",
"license": "1010017211",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VT",
"license": "101-0017211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ONP1399",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.