Individual provider Active NPI

Katharine Pershouse, L.AC.

  • Acupuncturist
  • Thetford Center, VT
National Provider Identifier
1033571971
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
091.0000026 Issued in VT
Practice address
3843 Route 113
Thetford Center, VT 05075-0277
Phone
(802) 785-2503
NPI assigned
Mar 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 091.0000026 VT Primary

Addresses

Primary practice location

3843 Route 113
Thetford Center, VT 05075-0277

Mailing address

PO Box 277
Thetford Center, VT 05075-0277
Phone (802) 785-2503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
091.0000026VTMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1033571971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "THETFORD CENTER",
            "state": "VT",
            "postal_code": "050750277",
            "telephone_number": "802-785-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3843 ROUTE 113",
            "city": "THETFORD CENTER",
            "state": "VT",
            "postal_code": "050750277",
            "telephone_number": "802-785-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSHOUSE",
        "first_name": "KATHARINE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-21",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VT",
            "license": "091.0000026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thetford Center, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.