Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ali J Kenyon

Individual provider Nurse Practitioner · NPI 1760900781

Ali J Kenyon is a Nurse Practitioner in Rutland, Vermont. Qualified in 2017, 9 years ago. Practices with Community Health Centers of the Rutland Region Inc, a 102-clinician group and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
9
Licensed in
VT
In the registry since
2017
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Practice location Address checks out

215 Stratton Rd
Rutland, VT 05701-4621
Phone: (802) 773-3386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 101.0132752 (VT)

Record details

NPI number1760900781
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2017
Last updated in NPPESAugust 30, 2017
Mailing address2645 Healdville Rd, Belmont, VT 05730

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Community Health Centers Of The Rutland Region Inc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rutland