Healthcare Provider Details

I. General information

NPI: 1447107628
Provider Name (Legal Business Name): ELIZABETH REED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 HOSPITAL DR
ST JOHNSBURY VT
05819-6001
US

IV. Provider business mailing address

PO BOX 905
ST JOHNSBURY VT
05819-0905
US

V. Phone/Fax

Practice location:
  • Phone: 802-748-5126
  • Fax: 802-748-1107
Mailing address:
  • Phone: 802-748-5126
  • Fax: 802-748-1107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number063.0134079
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: