Individual provider Active NPI

Allison Page Niemi, MD

  • Family Medicine Physician
  • Shaftsbury, VT
National Provider Identifier
1831154616
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042-0010745 Issued in VT
Practice address
677 VT Route 7a
Shaftsbury, VT 05262-9548
Phone
(802) 442-8531
Fax
(802) 442-1503
NPI assigned
Apr 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 042-0010745 VT Primary

Addresses

Primary practice location

677 VT Route 7a
Shaftsbury, VT 05262-9548

Mailing address

677 VT Route 7a
P O Box 379
Shaftsbury, VT 05262-9548
Phone (802) 442-9531

Other identifiers 1

IdentifierTypeStateIssuer
OVN3533MedicaidVT

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
I20041018001028 VT Practitioner - Family Practice 4486614088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7237 Route 7
Pownal, VT 05261-9494
Phone (802) 681-2780

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0010745VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Vermont Medical Center Inc. Family Medicine Current Accepting new patients
Southwestern Vermont Medical Center Inc. CurrentSince Aug 15, 2021 Accepting new patients
Southwestern Vermont Medical Center, Inc CurrentSince Aug 15, 2021 Accepting new patients
Emergency and Acute Care Medical Company - Northeast, Inc. Past Accepting new patients
Southwestern Vermont Medical Center, Inc Past Accepting new patients

Locations

100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509

100 Hospital Dr
#44
Bennington, VT 05201
Phone (802) 442-4509

140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836

7237 Route 7
Pownal, VT 05261
Phone (802) 681-2780

Interoperability endpoints

  • Direct secure messaging: allison.niemi.1@3744.direct.athenahealth.com

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.

Hospital & facility affiliations 5

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831154616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 VT ROUTE 7A",
            "address_2": "P O BOX 379",
            "city": "SHAFTSBURY",
            "state": "VT",
            "postal_code": "052629548",
            "telephone_number": "802-442-9531",
            "fax_number": "802-442-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 VT ROUTE 7A",
            "city": "SHAFTSBURY",
            "state": "VT",
            "postal_code": "052629548",
            "telephone_number": "802-442-8531",
            "fax_number": "802-442-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMI",
        "first_name": "ALLISON",
        "middle_name": "PAGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042-0010745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN3533",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaftsbury, VT

Sources for this page

Verify at the official NPI Registry.