Active NPI
Katherine M. Nacca, MD
- Emergency Medicine Physician
- Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 042.0013235
- Practice address
- 111 Colchester Ave.
Uvm Medical Center, Surgery/Ed
Burlington, VT 05041 - Phone
- (802) 847-2434
- Fax
- (802) 847-4802
- NPI assigned
- May 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 042.0013235 | VT | Primary |
| Emergency Medicine Physician | 207P00000X | 265852 | NY |
Addresses
Primary practice location
111 Colchester Ave.
Uvm Medical Center, Surgery/Ed
Burlington, VT 05041
Mailing address
111 Colchester Ave.
Uvm Medical Center, Surgery/Ed
Burlington, VT 05041
Phone (802) 847-2434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03612806 | Medicaid | NY |
Other names 1
- Dr. Katherine M. Dougher
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | knacca111879@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | knacca111879@direct.urmc.rochester.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042.0013235 | VT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Emergency Medicine | Current | Accepting new patients |
| University of Rochester | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| Emergency Associates - University of Rochester | Current | Accepting new patients | |
| Observation Associates of the University of Rochester | Current | Accepting new patients | |
| Acute Care Trauma of the University of Rochester | Current | Accepting new patients | |
| University of Rochester Urgent Care | Current | Accepting new patients | |
| Cardiac Surgery of the University of Rochester | Current | Accepting new patients |
Locations
601 Elmwood Ave
#655B
Rochester, NY 14642
Phone (585) 341-3015
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
Interoperability endpoints
- knacca111879@direct.urmc.rochester.edu
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
Emergency Medicine
-
- Emergency Care Clinic/Center
- Rochester, NY
- NPI 1346281268
-
- Multi-Specialty Clinic/Center
- Rochester, NY
- NPI 1518908433
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
- Urgent Care Clinic/Center
- Rochester, NY
- NPI 1700260395
-
- Surgical Critical Care Physician
- Rochester, NY
- NPI 1851754634
-
- Surgical Critical Care Physician
- Rochester, NY
- NPI 1689023277
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1821152588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1841519576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE.",
"address_2": "UVM MEDICAL CENTER, SURGERY/ED",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05041",
"telephone_number": "802-847-2434",
"fax_number": "802-847-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE.",
"address_2": "UVM MEDICAL CENTER, SURGERY/ED",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05041",
"telephone_number": "802-847-2434",
"fax_number": "802-847-4802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NACCA",
"first_name": "KATHERINE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-20",
"last_updated": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VT",
"license": "042.0013235",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "265852",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03612806",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "knacca111879@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "knacca111879@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "DOUGHER",
"middle_name": "M.",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.