Active NPI
Nancy Scattergood Donavan, M.D.
- Family Medicine Physician
- Bennington, VT
National Provider Identifier
1801895818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0420006890
- 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, 2015
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08198 | Other | MVP | |
| 8000200 | Other | VT | LADIES FIRST |
| 4482963 | Other | AETNA | |
| 080066554 | Other | VT | RAILROAD MEDICARE |
| 0005554 | Medicaid | VT | |
| 00028237 | Other | VT | BLUE CROSS/BLUE SHIELD |
| 10002929 | Other | CDPHP |
Other names 1
- Dr. Nancy Lee Scattergood
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0420006890 | VT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Bennington, VT
- NPI 1902941917
-
- Family Medicine Physician
- Bennington, VT
- NPI 1538221502
-
- General Acute Care Hospital
- Bennington, VT
- NPI 1205865789
-
dba SVMC Orthopaedics
- Orthopaedic Surgery Physician
- Bennington, VT
- NPI 1487930632
-
- General Practice Physician
- Bennington, VT
- NPI 1740682921
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.