Active NPI
Martha A Nelson, NURSE PRACTITIONER
- Adult Health Nurse Practitioner
- White River Junction, VT
National Provider Identifier
1790895407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1010009829
- Practice address
- 215 N Main St
White River Junction, VT 05009-0001 - Phone
- (802) 295-9363
- Fax
- (802) 291-6289
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1010009829 | VT | Primary |
Addresses
Primary practice location
215 N Main St
White River Junction, VT 05009-0001
Mailing address
PO Box 1152
Norwich, VT 05055-1152
Phone (802) 649-3604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48287 | Other | VT | BCBSVT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1010009829 | VT | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790895407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1152",
"city": "NORWICH",
"state": "VT",
"postal_code": "050551152",
"telephone_number": "802-649-3604"
},
{
"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": "802-295-9363",
"fax_number": "802-291-6289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "MARTHA",
"middle_name": "A",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VT",
"license": "1010009829",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSVT",
"identifier": "48287",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White River Junction, VT
- Andrea L Murphy, OD, FAAO
- Christine Patrick Murphy, CRNA
- Linda M Nagy, M.D.
- Nancy B Birge, Licsw, PLC (Dothan Brook Associates, Counseling & Consultation)
- Constance Vernice Nelson-White, LICSW
- New England Wellness (NEW Infusions)
- Anh Nguyen, RPH
- Christopher David Nice, M.D.
- Carly J Nichols, MSW, CCM
- Jessica Leah Nicholson, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.