Individual provider Active NPI

Meredith Sanderson, CNM

  • Women's Health Nurse Practitioner
  • White River Junction, VT
National Provider Identifier
1972389013
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
101.0135956 Issued in VT
Practice address
79 S Main St
White River Junction, VT 05001-7071
Phone
(802) 281-6056
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 084821-23 NH
Women's Health Nurse Practitioner 363LW0102X 101.0135956 VT Primary

Addresses

Primary practice location

79 S Main St
White River Junction, VT 05001-7071

Mailing address

784 Hercules Dr Ste 110
Colchester, VT 05446-8049

Other identifiers 2

IdentifierTypeStateIssuer
3142831MedicaidNH
6715123MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231220002129 NH Practitioner - Certified Nurse Midwife (CNM) 5092165845 Reassigns benefits to 1 organization
I20231220002471 VT Practitioner - Certified Nurse Midwife (CNM) 5092165845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood of Northern New England, IncGroup PAC ID 8729069505, 41 clinicians

Practice addresses (Care Compare)

79 S Main St
White River Junction, VT 05001-7071
Phone (802) 291-9130

8 Middle St
Keene, NH 03431-3305
Phone (603) 352-6898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
084821-23NHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Northern New England, Inc CurrentSince Nov 13, 2023 Accepting new patients
Planned Parenthood of Northern New England PastSince Sep 10, 2023 Accepting new patients

Locations

275 Main St
Ste 102
Biddeford, ME 04005
Phone (207) 282-6200

886 Main St
Ste 200B
Sanford, ME 04073
Phone (207) 324-9385

4 Bowdoin Mill Is
Ste 101
Topsham, ME 04086
Phone (207) 725-8264

4 Birch St
Derry, NH 03038
Phone (603) 434-1354

108 High St
Exeter, NH 03833
Phone (603) 772-9315

8 Middle St
Keene, NH 03431
Phone (603) 352-6898

24 Pennacook St
Manchester, NH 03104
Phone (603) 669-7321

90 Washington St
Barre, VT 05641
Phone (802) 475-6696

6 High St
Brattleboro, VT 05301
Phone (802) 257-0534

784 Hercules Dr
Ste 110
Colchester, VT 05446
Phone (802) 448-9784

11 Burnham Ave
Rutland, VT 05701
Phone (802) 775-2333

501 Portland St
St Johnsbury, VT 05819
Phone (802) 363-3209

79 S Main St
White River Junction, VT 05001
Phone (802) 281-6056

75 Talcott Rd
Ste 10
Williston, VT 05495
Phone (802) 879-4800

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.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1972389013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 HERCULES DR STE 110",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 S MAIN ST",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050017071",
            "telephone_number": "802-281-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "MEREDITH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NH",
            "license": "084821-23",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VT",
            "license": "101.0135956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3142831",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6715123",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

Verify at the official NPI Registry.