Individual provider Active NPI

Alexis Brooke Saaman, PA-C

  • Physician Assistant
  • South Burlington, VT
National Provider Identifier
1821722752
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
150 Kennedy Dr
South Burlington, VT 05403-6749
Phone
(802) 448-9370
Fax
(802) 448-1414
NPI assigned
Jul 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

150 Kennedy Dr
South Burlington, VT 05403-6749

Mailing address

150 Kennedy Dr
South Burlington, VT 05403-6749
Phone (802) 448-9370

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221010000223 VT Practitioner - Physician Assistant 1052797446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champlain Medical Associates PLLC 5 clinicians

Practice addresses (Care Compare)

150 Kennedy Dr
South Burlington, VT 05403-6749
Phone (802) 448-9370

Hospital & facility affiliations

  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hoeppner Physical Therapy Limited Partnership CurrentSince Sep 4, 2022 Accepting new patients

Locations

150 Kennedy Dr
South Burlington, VT 05403
Phone (802) 448-9370

Organizations & group practices 2

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 1

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": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1821722752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 KENNEDY DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036749",
            "telephone_number": "802-448-9370",
            "fax_number": "802-448-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 KENNEDY DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036749",
            "telephone_number": "802-448-9370",
            "fax_number": "802-448-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAMAN",
        "first_name": "ALEXIS",
        "middle_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.