Healthcare Provider Details

I. General information

NPI: 1205796323
Provider Name (Legal Business Name): RACHEL C. LAVALLEE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL L. CORBETT BSN

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 HEATON ST
MONTPELIER VT
05602-2489
US

IV. Provider business mailing address

PO BOX 647
MONTPELIER VT
05601-0647
US

V. Phone/Fax

Practice location:
  • Phone: 802-223-6328
  • Fax: 802-229-8004
Mailing address:
  • Phone: 802-479-2502
  • Fax: 802-479-4056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number026.0086935
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number026.0086935
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: