Active NPI
Harriott Meyer Shea, MD
- Pediatrics Physician
- Berlin, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 042-0009585
- Practice address
- 246 Granger Rd Ste 1
Associates in Pediatrics - Berlin
Berlin, VT 05602-0000 - Phone
- (802) 371-5950
- Fax
- (802) 371-5951
- NPI assigned
- Jul 21, 2006
- Last updated
- Dec 4, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 042-0009585 | VT | Primary |
Addresses
Primary practice location
246 Granger Rd Ste 1
Associates in Pediatrics - Berlin
Berlin, VT 05602-0000
Mailing address
PO Box 547
Central Vermont Medical Center - Finance Dept
Barre, VT 05641-0547
Phone (802) 371-5950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006137 | Medicaid | VT |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0009585 | VT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Pediatrics | Current | Accepting new patients |
Locations
246 Granger Road Berlin
Barre, VT 05641
Phone (802) 225-5810
130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
Interoperability endpoints
- hshea236467@direct.uvmhealth.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1861413403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"address_2": "CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT",
"city": "BARRE",
"state": "VT",
"postal_code": "056410547",
"telephone_number": "802-371-5950",
"fax_number": "802-371-5951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 GRANGER RD STE 1",
"address_2": "ASSOCIATES IN PEDIATRICS - BERLIN",
"city": "BERLIN",
"state": "VT",
"postal_code": "056020000",
"telephone_number": "802-371-5950",
"fax_number": "802-371-5951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "HARRIOTT",
"middle_name": "MEYER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VT",
"license": "042-0009585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006137",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.