SHANNON RIVARD ARNP NPI 1164774808

NPI Information

  • NPI: 1164774808
  • Provider Name: SHANNON RIVARD, ARNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1311 BARRE MONTPELIER ROAD
    SUITE 400
    BERLIN, VT
    ZIP 05602
  • Phone: (802) 225-3970

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NPI Details

Shannon Rivard, ARNP is a family nurse practitioner in Berlin, VT with 14 years of experience. Shannon Rivard, ARNP NPI is 1164774808. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1311 BARRE MONTPELIER ROAD
SUITE 400
BERLIN, VT
ZIP 05602
Phone: (802) 225-3970

The NPI 1164774808 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Knee replacement (HCPCS:NAN06)

The enumeration date for this NPI number is 10/4/2012 and was last updated on 9/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP60310467WASHINGTONNo
2363LF0000XNurse PractitionerFamily101.0134328VERMONTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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