Kathy A. Elliott, APRN-BC
Individual provider Active NPI Adult Health Nurse Practitioner · Brattleboro, VT
NPI 1821160862 · NPPES record last updated Sep 14, 2020
Key facts
- NPI
- 1821160862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 0260033379 (VT)
- Practice address
- 19 Belmont Ave Ste 103
Brattleboro, VT 05301-6761 - Phone
- (802) 258-3905
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0260033379 | VT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Health Partners - New York LLP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0260033379 | VT | Yes |
Addresses
Primary practice location
19 Belmont Ave Ste 103
Brattleboro, VT 05301-6761
Mailing address
66 Knight LN Ste 10
Williston, VT 05495-9308
Phone (802) 872-4343
Other practice location 1
21 Belmont Ave
Brattleboro, VT 05301-7110
Phone (802) 258-3905
Other providers in Brattleboro, VT
- Nicole Ekenstierna
- Eric William El Masri
- Thea Elijah
- Elizabeth a. McLarney, M.D., P.C.
- Edward F. Elliott Jr.
- Amy Michelle Emery
- Emma Gardner Counseling, LLC
- Julie A Emond
- Empowered Physical Therapy LLC
- Barbara Whitnah Evans
All providers in Brattleboro, VT · Adult Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.