Active NPI
Caryn E Everett, FNP
- Family Nurse Practitioner
- St Johnsbury, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 101.0110192
- Practice address
- 714 Breezy Hill Rd
NVRH Kingdom Internal Medicine
St Johnsbury, VT 05819-8882 - Phone
- (802) 748-7500
- Fax
- (802) 745-1188
- NPI assigned
- Mar 4, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 101.0110192 | VT | Primary |
Addresses
Primary practice location
714 Breezy Hill Rd
NVRH Kingdom Internal Medicine
St Johnsbury, VT 05819-8882
Mailing address
714 Breezy Hill Rd
NVRH Kingdom Internal Medicine
St Johnsbury, VT 05819-8882
Phone (802) 748-7500
Other names 1
- Caryn E Macdonald
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Perelman School of Med at the University of Pennsylvania, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
246 Granger Rd
2 CVMC Family Medicine Berlin
Berlin, VT 05602
Phone (802) 225-5810
PO Box
St Johnsbury, VT 05819-0905
Hospital & facility affiliations
- Central Vermont Home Health & Hospice
- Central Vermont Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101.0110192 | VT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Vermont Regional Hospital Inc | Current | Accepting new patients | |
| Central Vermont Medical Center Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc. | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients |
Locations
225 S Main St
Barre, VT 05641
Phone (802) 476-9242
77 Vine St
Barre, VT 05641
Phone (802) 225-1266
246 Granger Road Berlin
Barre, VT 05641
Phone (802) 225-5810
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
195 Industrial Pkwy
Lyndonville, VT 05851
1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638
Interoperability endpoints
- ceverett561676@direct.uvmhealth.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
-
- Primary Care Clinic/Center
- Lyndonville, VT
- NPI 1659459428
-
- Specialist
- St Johnsbury, VT
- NPI 1760773774
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1013430511
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1326081811
-
- Critical Access Hospital
- St Johnsbury, VT
- NPI 1548202690
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Barre, VT
- NPI 1265440648
-
- General Acute Care Hospital
- Berlin, VT
- NPI 1508845637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1932591658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 BREEZY HILL RD",
"address_2": "NVRH KINGDOM INTERNAL MEDICINE",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058198882",
"telephone_number": "802-748-7500",
"fax_number": "802-745-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 BREEZY HILL RD",
"address_2": "NVRH KINGDOM INTERNAL MEDICINE",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058198882",
"telephone_number": "802-748-7500",
"fax_number": "802-745-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT",
"first_name": "CARYN",
"middle_name": "E",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-04",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VT",
"license": "101.0110192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARYN",
"last_name": "MACDONALD",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Johnsbury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.