Healthcare Provider Details

I. General information

NPI: 1750819371
Provider Name (Legal Business Name): JAMIE D BARITEAU APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2017
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 RICHARDSON ST
NORTHFIELD VT
05663-5644
US

IV. Provider business mailing address

PO BOX 219
BARRE VT
05641-0219
US

V. Phone/Fax

Practice location:
  • Phone: 802-485-3161
  • Fax: 802-485-6307
Mailing address:
  • Phone: 802-477-2024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1010127420
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: