Individual provider Active NPI

Mary Katherine Howard, M.D.

  • Family Medicine Physician
  • Manchester Center, VT
National Provider Identifier
1821222068
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042.0014372 Issued in VT
Practice address
34 Bonnet St
Manchester Center, VT 05255-8920
Phone
(802) 768-1718
Fax
(855) 247-1646
NPI assigned
May 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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 042.0014372 VT Primary

Addresses

Primary practice location

34 Bonnet St
Manchester Center, VT 05255-8920

Mailing address

34 Bonnet St
Manchester Center, VT 05255-8920
Phone (802) 768-1718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190515000905 VT Practitioner - Family Practice 0143463539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Manchester Medical Center PLLCGroup PAC ID 2365859295, 2 clinicians

Practice addresses (Care Compare)

34 Bonnet St
Manchester Center, VT 05255-8920
Phone (802) 768-1718

Hospital & facility affiliations

  • Vna & Hospice of the Southwest Region, Inc. Home health agency, Rutland, VT, CCN 477007
  • Vna & Hospice of Southwest Region, Inc. Hospice, Rutland, VT, CCN 471507
  • Southwestern Vermont Medical Center Hospital, Bennington, VT, CCN 470012
  • Rutland Regional Medical Center Hospital, Rutland, VT, CCN 470005
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Manchester Medical Center Primary Care Family Medicine CurrentSince Mar 17, 2024 Accepting new patients
Manchester Medical Center PLLC Current Accepting new patients
St Vincent Physician Clinics LLC Family Medicine Past Accepting new patients

Locations

34 Bonnet St
Manchestr Ctr, VT 05255
Phone (802) 766-0159

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19421/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGHFDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1821222068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BONNET ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052558920",
            "telephone_number": "802-768-1718",
            "fax_number": "855-247-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BONNET ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052558920",
            "telephone_number": "802-768-1718",
            "fax_number": "855-247-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-01",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042.0014372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester Center, VT

Sources for this page

Verify at the official NPI Registry.