Organization Active NPI

Cold Hollow Family Practice, PC

  • Family Medicine Physician
  • Enosburg Falls, VT
National Provider Identifier
1902892870
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COLD HOLLOW FAMILY PRACTICE, PC
Practice address
84 Water Tower Rd
Suite 1
Enosburg Falls, VT 05450-6097
Phone
(802) 933-6664
Fax
(802) 933-8333
NPI assigned
Sep 26, 2005
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Judy Lyn Pond
Title
Biller
Phone
(802) 933-6664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

84 Water Tower Rd
Suite 1
Enosburg Falls, VT 05450-6097

Mailing address

84 Water Tower Rd Ste 1
Enosburg Falls, VT 05450-6097
Phone (802) 933-6664

Other identifiers 2

IdentifierTypeStateIssuer
0VN1159MedicaidVT
0473824MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050318000937 VT Part A Provider - Rural Health Clinic 1658326939 Practice locations: Enosburg Falls, VT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902892870. Details of each certification follow.

Rural health clinic certification: CCN 473824

Legal name
COLD HOLLOW FAMILY PRACTICE PC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 14, 1995
Last certification
Sep 11, 2023
Ownership / control type
1C
Most recent change of ownership
Feb 3, 2005 (1 total)
Organization structure
CorporationProprietary
Incorporated
Feb 3, 2005 in VT
Enrollment address
84 Water Tower Rd
Ste 1
Enosburg Falls, VT 05450-6097

National Provider Directory

National Provider Directory
Tax ID family
Cold Hollow Family Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

84 Water Tower Rd
Enosburg Fls, VT 05450
Phone (802) 933-6664

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Candace Collins Individual W-2 Managing EmployeeAd; Feb 3, 2005
Lorne M N Babb Individual 5% Or Greater Direct Ownership InterestPresident Feb 3, 2005 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1902892870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 WATER TOWER RD STE 1",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "054506097",
            "telephone_number": "802-933-6664",
            "fax_number": "802-933-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 WATER TOWER RD",
            "address_2": "SUITE 1",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "054506097",
            "telephone_number": "802-933-6664",
            "fax_number": "802-933-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLD HOLLOW FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "POND",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "802-933-6664"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1159",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0473824",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enosburg Falls, VT

Sources for this page

Verify at the official NPI Registry.