=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023635182
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIN MICHELLE LEIGHTON
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/06/2020
-----------------------------------------------------
Last Update Date | 10/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1205 NORTH AVE
-----------------------------------------------------
City | BURLINGTON
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05408-2804
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-863-1313
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 372 BIRCH RD
-----------------------------------------------------
City | SHELBURNE
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05482-6898
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-266-9247
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 101.0134585
-----------------------------------------------------
License Number State | VT
-----------------------------------------------------