Active NPI
Janet Stiles McSorley, NP
- Vascular Surgery Physician
- Burlington, VT
National Provider Identifier
1972517969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 101-0014545
- Practice address
- 111 Colchester Ave
Main Pavilion-Level 5 Vascular
Burlington, VT 05401-1473 - Phone
- (802) 847-4548
- Fax
- (802) 847-0970
- NPI assigned
- Jul 28, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 101-0014545 | VT | Primary |
Addresses
Primary practice location
111 Colchester Ave
Main Pavilion-Level 5 Vascular
Burlington, VT 05401-1473
Mailing address
E14 Stonehedge Dr
South Burlington, VT 05403-7367
Phone (802) 657-4189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009429 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101-0014545 | VT | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972517969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E14 STONEHEDGE DR",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037367",
"telephone_number": "802-657-4189",
"fax_number": "802-847-0970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"address_2": "MAIN PAVILION-LEVEL 5 VASCULAR",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-4548",
"fax_number": "802-847-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCSORLEY",
"first_name": "JANET",
"middle_name": "STILES",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "VT",
"license": "101-0014545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009429",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.