NPI Code Detail JSON Logo

1255673109 NPI number — STATE OF VERMONT DISABILITY DETERMINATION SERVICES

NPI Number: 1255673109
Health Care Provider/Practitioner: STATE OF VERMONT DISABILITY DETERMINATION SERVICES

Information about “1255673109” NPI (STATE OF VERMONT DISABILITY DETERMINATION SERVICES) exists in 1255673109 in HTML format HTML  |  1255673109 in plain Text format TXT  |  1255673109 in PDF (Portable Document Format) PDF  |  1255673109 in an XML format XML  formats.

NPI Number : 1255673109 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255673109",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "STATE OF VERMONT DISABILITY DETERMINATION SERVICES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "93 PILGRIM PARK RD",
    "SecondLineMailingAddress": "SUITE 6",
    "MailingAddressCityName": "WATERBURY",
    "MailingAddressStateName": "VT",
    "MailingAddressPostalCode": "05676-1727",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "802-241-2463",
    "MailingAddressFaxNumber": "802-241-2492",
    "FirstLinePracticeLocationAddress": "93 PILGRIM PARK RD",
    "SecondLinePracticeLocationAddress": "SUITE 6",
    "PracticeLocationAddressCityName": "WATERBURY",
    "PracticeLocationAddressStateName": "VT",
    "PracticeLocationAddressPostalCode": "05676-1727",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "802-241-2463",
    "PracticeLocationAddressFaxNumber": "802-241-2492",
    "EnumerationDate": "03/19/2013",
    "LastUpdateDate": "03/19/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LYON-HART",
    "AuthorizedOfficialFirstName": "TRUDY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "802-241-2463",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251K00000X",
        "TaxonomyName": "Public Health or Welfare Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.