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NPI Code Detail

MEDICARE: JULIA CLAYTON

MEDICARE: JULIA CLAYTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1176B00000XMidwife101-0092622VT
2176B00000XMidwifeF000798NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1350500OTHERNYMVP

General Provider Information

NPI Number : 1225033699
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA CLAYTON
Provider Business Mailing Address
First Line : 617 RIVERSIDE AVE
Second Line : PO BOX 144
City : BURLINGTON
State : VT
Zip : 05401-1601
Country : US
Telephone Number : 802-864-6309
Fax Number : 802-860-4313
Provider Business Practice Location Address
First Line : 111 COLCHESTER AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-1473
Country : US
Telephone Number : 802-847-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 09/18/2025

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