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ESSEX PEDIATRICS PC
NPI 1104925817
Pediatrics in Essex Jct, VT

Active since September 21, 2006CLIA 47D0091383 · Certificate of Compliance
89 MAIN ST, ESSEX JCT, VT 05452(802) 879-6556(802) 872-8021 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Essex Pediatrics Pc NPPES

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

ESSEX PEDIATRICS PC (NPI 1104925817) is a healthcare organization registered as a pediatrics in Essex Jct, Vermont and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 8, 2026 and lists Sue Rogers-low, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104925817
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameESSEX PEDIATRICS PC
Location Address89 MAIN STEssex Jct, VT 05452-3207
Mailing Address89 Main StEssex Jct, VT 05452-3207 · (802) 879-6556 · Fax (802) 872-8021
Phone(802) 879-6556
Fax(802) 872-8021
Organization SubpartNo
Authorized OfficialSue Rogers-lowOffice Manager · (802) 879-6556
Enumeration DateSeptember 21, 2006
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1104925817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VT · 120475
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
89 MAIN ST, Essex Jct, VT 05452
Open in Google Maps ↗

Other Identifiers 1

MedicaidOVN1603VT

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 Compliance 47D0091383

Essex Pediatrics · Essex Junction, VT
Active · expires Sep 8, 2026
CLIA Number47D0091383
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorDr. Steve Hale
Laboratory Phone(802) 879-6556
Laboratory LocationEssex Pediatrics89 Main St, Essex Junction, VT 05452
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMA CASKEY
Counselor (Mental Health)
89 MAIN ST
ESSEX JUNCTION, VT 05452
Chittenden County (574) 370-6877
CAVE COUNSELING, PLLC
Social Worker (Clinical)
89 MAIN ST
ESSEX JUNCTION, VT 05452
Chittenden County (802) 424-8561
DR. PAUL MCLANE COSTELLO M.D.
Pediatrics
89 MAIN ST
ESSEX JCT, VT 05452
Chittenden County (802) 879-6556
LEO PARINI
Student in an Organized Health Care Education/Training Program
89 MAIN ST
ESSEX JUNCTION, VT 05452
Chittenden County (802) 879-6556
HANNAH EVE JOHNSON MD
Pediatrics
89 MAIN ST
ESSEX JUNCTION, VT 05452
Chittenden County (802) 879-6556
DR. DAVID E STIFLER M.D.
Pediatrics
89 MAIN ST
ESSEX JCT, VT 05452
Chittenden County (802) 879-6556
KRISTEN L MASSINGHAM CPNP
Nurse Practitioner (Pediatrics)
89 MAIN ST
ESSEX JUNCTION, VT 05452
Chittenden County (802) 879-6556
DR. NICOLE LAFKO BRESLEND PH.D.
Psychologist (Clinical)
89 MAIN ST
ESSEX JUNCTION, VT 05452
Chittenden County (802) 676-1570

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 Essex Pediatrics PC's NPI number?

The NPI number for Essex Pediatrics PC is 1104925817. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Essex Pediatrics PC located?

Essex Pediatrics PC is located at 89 Main St, Essex Jct, VT 05452. The listed phone number is (802) 879-6556.

What is Essex Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Essex Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 47D0091383) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Essex Pediatrics PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Essex Pediatrics PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Essex Pediatrics PC was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.