NPI 1861422735 · live from the CMS NPI Registry
Caroline Tassey, NP
Nurse Practitioner, Psych/Mental Health in Williston, VT. National Provider Identifier 1861422735, active.
NPI record
| NPI | 1861422735 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 277 Blair Park Rd, Suite 210, Williston, VT 05495 |
| Practice phone | 802-598-4006 |
| Mailing address | 33 Holly Ln, Burlington, VT 05408 |
| Enumerated | July 4, 2006 |
| Last updated | October 4, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Adult Health | 363LA2200X | 101-0016244 (VT) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 101-0016244 (VT) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | 101-0016244 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.