Individual provider Active NPI

Caroline Tassey, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Williston, VT
National Provider Identifier
1861422735
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
101-0016244 Issued in VT
Practice address
277 Blair Park Rd
Suite 210
Williston, VT 05495-7886
Phone
(802) 598-4006
Fax
(802) 316-4208
NPI assigned
Jul 4, 2006
Last updated
Oct 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 101-0016244 VT
Pediatric Nurse Practitioner 363LP0200X 101-0016244 VT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101-0016244 VT Primary

Addresses

Primary practice location

277 Blair Park Rd
Suite 210
Williston, VT 05495-7886

Mailing address

33 Holly LN
Burlington, VT 05408-2621
Phone (802) 540-0388

Other identifiers 2

IdentifierTypeStateIssuer
ONP0855MedicaidVT
ONPO855MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
101-0016244VTMDPsychiatric/Mental Health Nurse Practitioner

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1861422735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HOLLY LN",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054082621",
            "telephone_number": "802-540-0388",
            "fax_number": "802-316-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 BLAIR PARK RD",
            "address_2": "SUITE 210",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957886",
            "telephone_number": "802-598-4006",
            "fax_number": "802-316-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASSEY",
        "first_name": "CAROLINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VT",
            "license": "101-0016244",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VT",
            "license": "101-0016244",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101-0016244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ONP0855",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ONPO855",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.