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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TACONIC ESSENTIAL PRIMARY CARE
NPI 1023829876
Nurse Practitioner - Primary Care in Rutland, VT

Active since January 20, 2025CLIA 47D2326510 · Waiver
228 S MAIN ST APT 51, RUTLAND, VT 05701(802) 772-7107(802) 772-9003 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 24, 2026, Mar 6, 2025 (2 updates tracked since 2025).

About Taconic Essential Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TACONIC ESSENTIAL PRIMARY CARE (NPI 1023829876) is a healthcare organization registered as a primary care in Rutland, Vermont and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through July 6, 2027 and lists Matthew T Dayton, Co Owner / Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1023829876
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameTACONIC ESSENTIAL PRIMARY CARE
Location Address228 S MAIN ST APT 51Rutland, VT 05701-4868
Mailing AddressPo Box 1280Rutland, VT 05701-1280 · (802) 772-7107 · Fax (802) 772-9003
Phone(802) 772-7107
Fax(802) 772-9003
Organization SubpartNo
Authorized OfficialMatthew T DaytonCo Owner / Practice Manager · (802) 772-7107
Enumeration DateJanuary 20, 2025
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1023829876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
228 S MAIN ST APT 51, Rutland, VT 05701
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Other Identifiers 1

Medicaid6712491VT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 47D2326510

Taconic Essential Primary Care · Rutland, VT
Active · expires Jul 6, 2027
CLIA Number47D2326510
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorTammy S. Devereux
Laboratory Phone(802) 772-7107
Laboratory LocationTaconic Essential Primary Care79 Center St, Ste 1, Rutland, VT 05701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taconic Essential Primary Care's NPI number?

The NPI number for Taconic Essential Primary Care is 1023829876. It was assigned to this organization in the NPPES registry on January 20, 2025.

Where is Taconic Essential Primary Care located?

Taconic Essential Primary Care is located at 228 S Main St Apt 51, Rutland, VT 05701. The listed phone number is (802) 772-7107.

What is Taconic Essential Primary Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Taconic Essential Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 47D2326510) is associated with this NPI, valid through July 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Taconic Essential Primary Care was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.