Individual provider Active NPI

Courtney P Marchetti, MSN

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • White River Junction, VT
National Provider Identifier
1902092141
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
1010106045 Issued in VT
Practice address
205 Billings Farm Rd Ste 2E-5
White River Junction, VT 05001-5401
Phone
(802) 491-3220
Fax
(802) 317-1724
NPI assigned
Sep 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 1010106045 VT Primary

Addresses

Primary practice location

205 Billings Farm Rd Ste 2E-5
White River Junction, VT 05001-5401

Mailing address

205 Billings Farm Rd Ste 2E-5
White River Junction, VT 05001-5401
Phone (802) 491-3220

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)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1010106045VTMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Courtney Marchetti, PLLC Psychiatric/Mental Health, Child & Adolescent Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1902092141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BILLINGS FARM RD STE 2E-5",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050015401",
            "telephone_number": "802-491-3220",
            "fax_number": "802-317-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BILLINGS FARM RD STE 2E-5",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050015401",
            "telephone_number": "802-491-3220",
            "fax_number": "802-317-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHETTI",
        "first_name": "COURTNEY",
        "middle_name": "P",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "VT",
            "license": "1010106045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.