Kimberly Jo Aakre, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

420009318 Issued in VT

Practice address

108 Cherry St
Burlington, VT 05401-4295

Phone

(802) 863-7338

Fax

(802) 863-7635

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: kimberlyjaakre@mahhc.cernerdirect.com

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1982736989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CHERRY ST",
            "address_2": "PO BOX 70",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014295",
            "telephone_number": "802-863-7338",
            "fax_number": "802-863-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CHERRY ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014295",
            "telephone_number": "802-863-7338",
            "fax_number": "802-863-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AAKRE",
        "first_name": "KIMBERLY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "420009318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN 1494",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberlyjaakre@mahhc.cernerdirect.com",
            "affiliation": "Y",
            "affiliationName": "WINDSOR HOSPITAL CORPORATION",
            "address_1": "289 County Rd",
            "city": "Windsor",
            "state": "VT",
            "country_code": "US",
            "postal_code": "050899000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Burlington, VT
• Pediatrics Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.

Verify at the official NPI Registry.