Healthcare Provider Details

I. General information

NPI: 1124900980
Provider Name (Legal Business Name): KAYLA DONOHUE DNP, FNP-BC, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 GRANGER RD STE 2
BARRE VT
05641-5352
US

IV. Provider business mailing address

5 WOODLAND DR UNIT D
JERICHO VT
05465-2559
US

V. Phone/Fax

Practice location:
  • Phone: 802-225-5810
  • Fax:
Mailing address:
  • Phone: 603-560-7487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number101.0138090
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number101.0138090
License Number StateVT
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number026.0150501
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: