Marin Beth Katz, DNP
Individual provider Active NPI Pediatric Nurse Practitioner · St Johnsbury, VT
NPI 1831746494 · NPPES record last updated Aug 19, 2019
Key facts
- NPI
- 1831746494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 101.0134367 (VT)
- Practice address
- 97 Sherman Dr
St Johnsbury, VT 05819-9280 - Phone
- (802) 748-5131
- NPI assigned
- Aug 19, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191107001598 | VT | Practitioner - Nurse Practitioner | 2668804915 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Vermont Regional Hospital, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 101.0134367 | VT | Yes |
Addresses
Primary practice location
97 Sherman Dr
St Johnsbury, VT 05819-9280
Mailing address
1315 Hospital Dr
St Johnsbury, VT 05819-9210
Other providers in St Johnsbury, VT
- Diantha Bailey Jones
- Jennifer Ruth Jones
- Joshua David Kantrowitz
- Janet L Kaplan
- Karen Roy Counseling LLC
- Annick-Marie Votteler Kaufman
- Jeannette D Keenan
- Keene Medical Products, LLC
- Christina Keene
- Connie L Kellogg
All providers in St Johnsbury, VT · Pediatric 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 Aug 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.