Individual provider
SIERRA PEMBROKE, MS
CMS NPPES lists SIERRA PEMBROKE as an individual provider record with NPI 1053293803. The current record reports a primary practice location in BARRE, VT and primary taxonomy code 101YM0800X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location23 SUMMER STBARRE, VT 056413741
- Additional practice location34 Barre StMontpelier, VT 056023510
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
171M00000XAdditional reported taxonomy101YM0800XPrimary reported taxonomy390200000XAdditional reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- July 23, 2025
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.