KATHLEEN TALBOT SANTOS (NPI# 1457714065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457714065 |
| Entity Type | Individual |
| Full Name | KATHLEEN TALBOT SANTOS |
| Credential | PA |
| Practice Address |
1199 Main St Fairfax VT 05454-9530 |
| Mailing Address |
44 Main St Ste 200 Richford VT 05476-1141 |
| Practice Telephone | 8028492844 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2018-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 900841 | 05 |
| Street Address |
1199 MAIN ST |
| City | FAIRFAX |
| State | VT |
| Zip Code | 05454-9530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164971495 | The Richford Health Center Inc | Clinic/Center | 1199 Main St, Fairfax, VT 05454-9530 | 2016-09-28 |
| 1952780314 | Fairfax Associates In Medicine Pllc | Internal Medicine | 1199 Main St, Fairfax, VT 05454-9530 | 2015-05-19 |
| 1114260015 | Joseph Matthew Boone | Nurse Practitioner | 1199 Main St, Fairfax, VT 05454-9530 | 2013-03-29 |
| 1801928262 | Teig Marco Dba Fairfax Associates In Medicine | Internal Medicine | 1199 Main St, Fairfax, VT 05454-9530 | 2007-03-12 |
| 1891826780 | Teig Marco | Internal Medicine | 1199 Main St, Fairfax, VT 05454-9530 | 2007-03-09 |
| 1457310740 | Audrey Elizabeth Vonlepel | Internal Medicine | 1199 Main St, Fairfax, VT 05454-9530 | 2006-03-23 |
| 1114996972 | Teig D Marco | Internal Medicine | 1199 Main St, Fairfax, VT 05454-9530 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255380432 | Carol Thayer | Family Medicine | 4178 Highbridge Rd, Georgia, VT 05454 | 2006-05-08 |
| 1588691778 | Fairfax Ems Inc | Ambulance | 14 Goodall Street, Fairfax, VT 05454-0428 | 2006-06-26 |
| 1578891040 | Chelsea C Clark | Registered Nurse | 15 East Rd Unit 102, Fairfax, VT 05454-4450 | 2009-11-22 |
| 1386279115 | Kristen Nicole Scullin | Physical Therapist | 1282 Main St, Fairfax, VT 05454-4456 | 2020-03-12 |
| 1801451414 | Casey D'alberto | Physical Therapist | 1282 Main St, Fairfax, VT 05454-4456 | 2019-05-08 |
| 1558692681 | Jacquelyn Lewis | Specialist | 1193 Ethan Allen Hwy, Fairfax, VT 05454-5433 | 2010-01-29 |
| 1912463712 | Sherry Lynne Cushing | Massage Therapist | 1091 Ethan Allen Hwy, Fairfax, VT 05454-5435 | 2019-02-16 |
| 1235188418 | Miriam S Sturgis | Family Medicine | 4178 Highbridge Rd, Georgia, VT 05454-5446 | 2006-05-08 |
| 1033476965 | Sarah Desilvey | Nurse Practitioner | 4178 Highbridge Rd, Fairfax, VT 05454-5446 | 2012-04-17 |
| 1417287665 | Northwestern Medical Center, Inc. | Clinic/Center | 4178 Highbridge Rd, Fairfax, VT 05454-5446 | 2010-01-12 |
| Find all providers in zip 05454 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053894493 | Natasha Olliver | Physician Assistant | 8500 Executive Park Ave Ste 200, Fairfax, VA 22031-2228 | 2018-09-12 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1831692375 | Lauren Mackenzie Mason | Physician Assistant | 3959 Pender Dr Ste 100, Fairfax, VA 22030-6041 | 2018-03-12 |
| 1164949665 | Kaitlyn Burns | Physician Assistant | 3700 Joseph Siewick Dr Ste 404, Fairfax, VA 22033-1745 | 2017-08-25 |
| 1699299628 | Mona Yazdani | Physician Assistant | 2920 District Ave Apt 359, Fairfax, VA 22031-4466 | 2017-08-01 |
| 1518396951 | Samantha Hancock | Physician Assistant | 10721 Main St Ste 200, Fairfax, VA 22030-6913 | 2013-11-06 |
| 1114263613 | Shoshana D Katz | Physician Assistant | 3031 Javier Rd Ste 210, Fairfax, VA 22031-4638 | 2013-01-02 |
| 1770610289 | Sonia J Mabout | Physician Assistant | 2812 Old Lee Hwy # 100b-d, Fairfax, VA 22031-4315 | 2007-02-28 |
| 1396705174 | Stephanie Anne Shepard | Physician Assistant | 2700 Prosperity Ave Ste 270, Fairfax, VA 22031-4321 | 2006-03-24 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.