Individual provider Active NPI

Caryn E Everett, FNP

  • Family Nurse Practitioner
  • St Johnsbury, VT
National Provider Identifier
1932591658
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0110192 Issued in VT
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

Updated by the provider on Oct 26, 2016

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 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 Former name

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
I20150521002507 VT Practitioner - Nurse Practitioner 3072833672 Reassigns benefits to 2 organizations

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
Central Vermont Medical Center IncGroup PAC ID 9335138817, 233 clinicians
Northeastern Vermont Regional Hospital IncGroup PAC ID 3678481405, 104 clinicians

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 Home health agency, Barre, VT, CCN 477003
  • Central Vermont Medical Center Hospital, Barre, VT, CCN 470001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101.0110192VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Vermont Regional Hospital Inc Current Accepting new patients
Central Vermont Medical Center Inc CurrentSince Oct 1, 2023 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. CurrentSince Sep 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.