Individual provider Active NPI

Nancy Scattergood Donavan, M.D.

  • Family Medicine Physician
  • Bennington, VT
National Provider Identifier
1801895818
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0420006890 Issued in VT
Practice address
2074 S Stream Rd
Bennington, VT 05201-8886
Phone
(802) 681-8528
Fax
(802) 442-6703
NPI assigned
Jul 20, 2005
Last updated
Jun 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0420006890 VT Primary

Addresses

Primary practice location

2074 S Stream Rd
Bennington, VT 05201-8886

Mailing address

2074 S Stream Rd
Bennington, VT 05201-8886
Phone (802) 681-8528

Other identifiers 7

IdentifierTypeStateIssuer
08198OtherMVP
8000200OtherVTLADIES FIRST
4482963OtherAETNA
080066554OtherVTRAILROAD MEDICARE
0005554MedicaidVT
00028237OtherVTBLUE CROSS/BLUE SHIELD
10002929OtherCDPHP

Other names 1

  • Dr. Nancy Lee Scattergood Other 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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420006890VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Vermont Medical Center Inc. Past Accepting new patients
Southwestern Vermont Medical Center, Inc Past Accepting new patients
Nancy Scattergood Donavan MD Family Medicine Past Accepting new patients
Southwestern Vermont Medical Center, Inc Past Accepting new patients
Angela L Wingate MD Family Medicine Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1801895818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 S STREAM RD",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052018886",
            "telephone_number": "802-681-8528",
            "fax_number": "802-442-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 S STREAM RD",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052018886",
            "telephone_number": "802-681-8528",
            "fax_number": "802-442-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAVAN",
        "first_name": "NANCY",
        "middle_name": "SCATTERGOOD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "0420006890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "08198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LADIES FIRST",
            "identifier": "8000200",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4482963",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080066554",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005554",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "00028237",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10002929",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "SCATTERGOOD",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bennington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.