Individual provider Active NPI

Anne T Standish, N.P.P.

  • Family Nurse Practitioner
  • Fairfax, VT
National Provider Identifier
1801061973
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101-0017609 Issued in VT
Practice address
4178 Highbridge Rd
Fairfax, VT 05454-5446
Phone
(802) 524-9595
Fax
(802) 524-2867
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101-0017609 VT Primary

Addresses

Primary practice location

4178 Highbridge Rd
Fairfax, VT 05454-5446

Mailing address

4178 Highbridge Rd
Fairfax, VT 05454-5446
Phone (802) 524-9595

Other identifiers 1

IdentifierTypeStateIssuer
1014907MedicaidVT

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

LicenseStateTypeSpecialty
101-0017609VTMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1801061973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4178 HIGHBRIDGE RD",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054545446",
            "telephone_number": "802-524-9595",
            "fax_number": "802-524-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4178 HIGHBRIDGE RD",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054545446",
            "telephone_number": "802-524-9595",
            "fax_number": "802-524-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDISH",
        "first_name": "ANNE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "N.P.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101-0017609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014907",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.