Individual provider Active NPI

Betty Fields, APRN

  • Nurse Practitioner
  • Woodstock, VT
National Provider Identifier
1952759904
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
101.0119556 Issued in VT
Practice address
32 Pleasant Street
Woodstock, VT 05091
Phone
(802) 457-3030
Fax
(802) 457-2157
NPI assigned
Jun 1, 2016
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 034630-23 NH
Nurse Practitioner 363L00000X 101.0119556 VT Primary

Addresses

Primary practice location

32 Pleasant Street
Woodstock, VT 05091

Mailing address

289 County Road
Windsor, VT 05089
Phone (802) 457-3030

Other identifiers 2

IdentifierTypeStateIssuer
1029111MedicaidVT
3106641MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bettyfields@mahhc.cernerdirect.com

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
I20170118001496 VT Practitioner - Nurse Practitioner 5799067211 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034630-23NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Windsor Hospital Corporation CurrentSince Jan 19, 2017 Accepting new patients
Windsor Hospital Corporation CurrentSince Jan 19, 2017 Accepting new patients
Windsor Hospital Corporation Current Accepting new patients

Locations

289 County Rd
Windsor, VT 05089
Phone (802) 674-7220

32 Pleasant St
Woodstock, VT 05091
Phone (802) 457-3030

Interoperability endpoints

  • Direct secure messaging: bettyfields@mahhc.cernerdirect.com
  • Direct secure messaging: bfields12695@direct.dartmouth-hitchcock.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1952759904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 COUNTY ROAD",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "05089",
            "telephone_number": "802-457-3030",
            "fax_number": "802-457-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PLEASANT STREET",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "05091",
            "telephone_number": "802-457-3030",
            "fax_number": "802-457-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "BETTY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "034630-23",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101.0119556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029111",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3106641",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bettyfields@mahhc.cernerdirect.com",
            "affiliation": "N",
            "address_1": "32 Pleasant Street",
            "city": "Woodstock",
            "state": "VT",
            "country_code": "US",
            "postal_code": "05091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodstock, VT

Sources for this page

Verify at the official NPI Registry.