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KELLY BRUSH DAVISSON
NPI 1730518549
Nurse Practitioner - Family in Burlington, VT

Active since November 02, 2013
128 LAKESIDE AVE STE 115, BURLINGTON, VT 05401(802) 860-1928(802) 860-0192 Get Directions Write a Review

NPPES record last updated: March 1, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Brush Davisson NPPES

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

KELLY BRUSH DAVISSON (NPI 1730518549) is an individual family provider in Burlington, Vermont, licensed in Vermont (1010122886) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1730518549
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY BRUSH DAVISSON
Location Address128 LAKESIDE AVE STE 115Burlington, VT 05401
Mailing Address128 Lakeside Ave Ste 115Burlington, VT 05401-4936 · (802) 860-1928 · Fax (802) 860-0192
Phone(802) 860-1928
Fax(802) 860-0192
Sole ProprietorNo
Enumeration DateNovember 2, 2013
Last NPPES UpdateMarch 1, 2019
✔ NPI 1730518549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VT · 1010122886
128 LAKESIDE AVE STE 115, Burlington, VT 05401
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Other Providers at the Same Location NPPES 3

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

KATHLEEN MORWOOD GOODWIN PNP
Nurse Practitioner (Pediatrics)
128 LAKESIDE AVE STE 115
BURLINGTON, VT 05401
Chittenden County (802) 860-1928
CASEY SANNER
Pediatrics
128 LAKESIDE AVE STE 115
BURLINGTON, VT 05401
Chittenden County (802) 860-1928
MELISSA LEE BROOKMAN CPNP
Nurse Practitioner (Pediatrics)
128 LAKESIDE AVE STE 115
BURLINGTON, VT 05401
Chittenden County (802) 860-1928

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 Kelly Davisson's NPI number?

The NPI number for Kelly Davisson is 1730518549. It was assigned to this individual provider in the NPPES registry on November 2, 2013.

Where is Kelly Davisson located?

Kelly Davisson practices at 128 Lakeside Ave Ste 115, Burlington, VT 05401. The listed phone number is (802) 860-1928.

What is Kelly Davisson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelly Davisson was last updated on March 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.