Tamarack Family Medicine

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TAMARACK FAMILY MEDICINE

Practice address

109 Professional Dr
Morrisville, VT 05661-8524

Phone

(321) 615-8328

NPI assigned

Jul 11, 2019

Organization subpart

No

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

Authorized official

Name

Kari Lynn Anderson

Title

Clinical Supervising Assistant

Phone

(802) 851-0999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly M Bruno, MD

  • Family Medicine Physician
  • Morrisville, VT
  • NPI 1992752836
  Medicare reassignment Care Compare group NPD
• Allison J Christie, M.D., M.P.H.

  • Family Medicine Physician
  • Morrisville, VT
  • NPI 1649460726
  Medicare reassignment Care Compare group NPD
• Molly Heller, FNP-C

  • Family Nurse Practitioner
  • Morrisville, VT
  • NPI 1033895073
  Medicare reassignment Care Compare group NPD
• Cheryl A Holton, N.P.

  • Family Nurse Practitioner
  • Morrisville, VT
  • NPI 1609897743
  Medicare reassignment Care Compare group NPD
• Philip G Kiely, M.D.

  • Family Medicine Physician
  • Morrisville, VT
  • NPI 1578542353
  Medicare reassignment Care Compare group NPD
• Kimberly R. Liberty, APRN

  • Family Nurse Practitioner
  • Saint Albans, VT
  • NPI 1083371470
  Medicare reassignment NPD
• Elise Rozendaal, FNP

  • Community Health Nurse Practitioner
  • Morrisville, VT
  • NPI 1902358476
  Medicare reassignment NPD

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1902458896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PROFESSIONAL DR",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618524",
            "telephone_number": "802-851-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PROFESSIONAL DR",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618524",
            "telephone_number": "321-615-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARACK FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL SUPERVISING ASSISTANT",
        "authorized_official_telephone_number": "802-851-0999"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A Sullivan, APRN, PMHCNS-BC
• Stuart David Sutherland, PA-C
• Lauralee Sweeney
• Susan O. Sykas, APRN, PNP
• Wendy Taber, DDS
• Jessica M Terrien, NPP
• The Manor Inc
• The Phoenix Center, Inc.
• Therapeutic Counseling and Consulting Services LLC
• Brekke Erin Thompson, MS

• Clinic/Center in Morrisville, VT
• Providers in Morrisville, VT by specialty
• Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.