Individual provider Active NPI

Rachel Ann Putnam, CNP

  • Family Nurse Practitioner
  • Williston, VT
National Provider Identifier
1922332071
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-01534 Issued in NM
Practice address
183 Talcott Rd
Williston, VT 05495-2089
Phone
(802) 288-8478
Fax
(802) 879-4800
NPI assigned
Sep 22, 2009
Last updated
Jul 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-01534 NM Primary

Addresses

Primary practice location

183 Talcott Rd
Williston, VT 05495-2089

Mailing address

183 Talcott Rd
Williston, VT 05495-2089
Phone (802) 288-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110705000011 VT Practitioner - Nurse Practitioner 7113105669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of New Mexico School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richmond Family Medicine PLLCGroup PAC ID 7113199480, 11 clinicians

Practice addresses (Care Compare)

30 W Main St
Richmond, VT 05477-4479
Phone (802) 434-4123

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-01534NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Family Medicine PLLC CurrentSince Oct 1, 2017 Accepting new patients

Locations

30 W Main St
Richmond, VT 05477
Phone (802) 233-6692

Interoperability endpoints

  • Direct secure messaging: rachelputnam@richmondfamilymedicine.medentdirect.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1922332071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 TALCOTT RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952089",
            "telephone_number": "802-288-8478",
            "fax_number": "802-879-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 TALCOTT RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952089",
            "telephone_number": "802-288-8478",
            "fax_number": "802-879-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-01534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

Verify at the official NPI Registry.