=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407734338
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SAPLING FAMILY CARE, LC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/27/2025
-----------------------------------------------------
Last Update Date | 08/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 418 HOUGHTON BROOK RD
-----------------------------------------------------
City | PUTNEY
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05346-8675
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-915-8545
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 110
-----------------------------------------------------
City | PUTNEY
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05346-0110
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-387-0164
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PROVIDER
-----------------------------------------------------
Name | LAUREN SHOCKLEY
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 305-915-8545
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------