Life Circle Family Practice, P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

042-0011317 Issued in VT

Legal business name

LIFE CIRCLE FAMILY PRACTICE, P.C.

Practice address

63 Belmont Ave
Brattleboro, VT 05301-6614

Phone

(802) 254-8300

NPI assigned

Sep 3, 2007

Last updated

Sep 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Burgess, M.D.

Title

Physician

Phone

(802) 254-8300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188777600000",
    "number": "1841484854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BELMONT AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016614",
            "telephone_number": "802-254-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BELMONT AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016614",
            "telephone_number": "802-254-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CIRCLE FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-03",
        "last_updated": "2007-09-03",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "802-254-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VT",
            "license": "042-0011317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather A Lesage-Horton, M.D.
• David F. Levingston, M.A.
• Thomas Walter Lewis, M.D.
• David Liebow, D.P.M.
• Kimberly Liebow, D.P.M.
• Lincare Inc.
• Lisa Kate Lcmhc LLC
• Harvey Liss, PSY.D.
• Anne Mead Little, LICSW
• Debra Ames Livernois, CPHT-ADV

• Primary Care Clinic/Center in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Primary Care Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.