Individual provider Active NPI

Emily M Mahar Cannon, N.D.

  • Naturopath
  • Middlebury, VT
National Provider Identifier
1063540623
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
099-0000230 Issued in VT
Practice address
152 Maple St Ste 302
Middlebury, VT 05753-1168
Phone
(802) 458-0488
Fax
(802) 458-0489
NPI assigned
Mar 2, 2007
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 099.0000230 VT
Naturopath 175F00000X 099-0000230 VT Primary

Addresses

Primary practice location

152 Maple St Ste 302
Middlebury, VT 05753-1168

Mailing address

152 Maple St Ste 302
Middlebury, VT 05753-1168
Phone (802) 458-0488

Other identifiers 1

IdentifierTypeStateIssuer
1015227MedicaidVT

Other names 1

  • Dr. Emily M Mahar Former name

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
099-0000230VTMDNaturopath
099.0000230VTMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1063540623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 MAPLE ST STE 302",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531168",
            "telephone_number": "802-458-0488",
            "fax_number": "802-458-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MAPLE ST STE 302",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531168",
            "telephone_number": "802-458-0488",
            "fax_number": "802-458-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAR CANNON",
        "first_name": "EMILY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0000230",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099-0000230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015227",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MAHAR",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "N.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middlebury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.