Active NPI
Laura B Vahey, PA
- Physician Assistant
- Woodstock, VT
National Provider Identifier
1962484154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0550030965
- Practice address
- 32 Pleasant Street
Woodstock, VT 05091 - Phone
- (802) 457-3030
- Fax
- (802) 457-2157
- NPI assigned
- Nov 15, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001719 | CT | |
| Physician Assistant | 363A00000X | 0550030965 | VT | Primary |
Addresses
Primary practice location
32 Pleasant Street
Woodstock, VT 05091
Mailing address
289 County Rd
Windsor, VT 05089-9000
Phone (802) 674-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001719 | Other | CT | STATE LICENSE |
Other names 1
- Laura B Desilets
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0550030965 | VT | MD | Physician Assistant |
| 001719 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windsor Hospital Corporation | Current | 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
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Windsor, VT
- NPI 1841287984
-
- Rehabilitation Hospital
- Windsor, VT
- NPI 1679560668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550361600000",
"number": "1962484154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 COUNTY RD",
"city": "WINDSOR",
"state": "VT",
"postal_code": "050899000",
"telephone_number": "802-674-7300",
"fax_number": "802-674-7349"
},
{
"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": "VAHEY",
"first_name": "LAURA",
"middle_name": "B",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2019-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "001719",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VT",
"license": "0550030965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "001719",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "DESILETS",
"middle_name": "B",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodstock, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.