NPIMap

Individual provider Active NPI

Kathryn H Burnell, APRN

  • Family Nurse Practitioner
  • Danville, VT
National Provider Identifier
1942563283
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1010087049 Issued in VT
Practice address
26 Cedar Lane
Danville, VT 05828-0185
Phone
(802) 684-2275
Fax
(802) 684-3839
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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 1010087049 VT Primary

Addresses

Primary practice location

26 Cedar Lane
Danville, VT 05828-0185

Mailing address

165 Sherman Dr
St Johnsbury, VT 05819-9811
Phone (802) 748-9405

Other names 1

  • Kathryn H Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120907000729 VT Practitioner - Nurse Practitioner 6103074687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Counties Health Care IncGroup PAC ID 2860300936, 48 clinicians

Practice addresses (Care Compare)

26 Cedar LN
Danville, VT 05828-9751
Phone (802) 684-2275

Hospital & facility affiliations

  • Caledonia Home Health Care Home health agency, Saint Johnsbury, VT, CCN 477010
  • Northeastern Vermont Regional Hospital Hospital, Saint Johnsbury, VT, CCN 471303
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Central Vermont Medical Center Hospital, Barre, VT, CCN 470001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Counties Health Care Inc CurrentSince Jun 18, 2012 Accepting new patients
Northern Counties Health Care, Inc. CurrentSince Jun 18, 2012 Accepting new patients
Northern Counties Health Care Past Accepting new patients

Locations

26 Cedar Ln
Danville, VT 05828
Phone (802) 684-2275

165 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-9405

Interoperability endpoints

  • Direct secure messaging: kathryn.burnell.1@28542.direct.athenahealth.com

Organizations & group practices 11

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 7

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1942563283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SHERMAN DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199811",
            "telephone_number": "802-748-9405",
            "fax_number": "802-748-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CEDAR LANE",
            "city": "DANVILLE",
            "state": "VT",
            "postal_code": "058280185",
            "telephone_number": "802-684-2275",
            "fax_number": "802-684-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNELL",
        "first_name": "KATHRYN",
        "middle_name": "H",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "1010087049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "DAVIS",
            "middle_name": "H",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, VT

Sources for this page

Verify at the official NPI Registry.