NPI 1285216408 · live from the CMS NPI Registry
Kathryn Ridgely Applegate
Nurse Practitioner, Family in South Burlington, VT. National Provider Identifier 1285216408, active.
NPI record
| NPI | 1285216408 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 118 Tilley Dr Ste 201, South Burlington, VT 05403 |
| Practice phone | 802-847-5550 |
| Mailing address | 111 Colchester Ave, Burlington, VT 05401 |
| Enumerated | April 27, 2021 |
| Last updated | September 3, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 101.0134596 (VT) |
| Nurse Practitioner, Family primary | 363LF0000X | 101-0134596 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.