Active NPI
Cold Hollow Family Practice, PC
- Family Medicine Physician
- Enosburg Falls, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0VN1159 | Medicaid | VT | |
| 0473824 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Practice
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Enosburg Falls, VT
- NPI 1396904520
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Candace Collins | W-2 Managing Employee | Feb 3, 2005 | |
| Lorne M N Babb | 5% Or Greater Direct Ownership Interest | 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.
-
- Family Medicine Physician
- Enosburg Falls, VT
- NPI 1134115090
5% Or Greater Direct Ownership Interest
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.
-
- Family Medicine Physician
- Michigan Center, MI
- NPI 1033105978
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.