Flora Ellen Health, LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Montpelier, VT
NPI 1962248286 · NPPES record last updated Jul 27, 2024
Key facts
- NPI
- 1962248286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- FLORA ELLEN HEALTH, LLC
- Practice address
- 159 State St Ste 102
Montpelier, VT 05602-3301 - Phone
- (802) 505-7337
- NPI assigned
- Jul 5, 2024
- Organization subpart
- No
Authorized official
- Name
- Flora Jestice, PMHNP
- Title
- Owner and Provider
- Phone
- (802) 505-9030
Practitioners 1
-
Flora E Jestice, MSN, FNP-C, PMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250317003034 | VT | Part B Supplier - Clinic/Group Practice | 7810419082 |
Receives reassigned benefits from 1 practitioner Practice locations: Montpelier, VT |
National Provider Directory
Locations
159 State St
Ste 102
Montpelier, VT 05602
Phone (802) 505-7337
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
159 State St Ste 102
Montpelier, VT 05602-3301
Mailing address
159 State St Ste 102
Montpelier, VT 05602-3301
Phone (802) 505-9030
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All providers in Montpelier, VT · Psychiatric/Mental Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.