Brenda Evelyn Villecco, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006.0134150 Issued in VT

Practice address

600 Blair Park Rd Ste 260
Williston, VT 05495-7548

Phone

(802) 857-5099

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Woodhaven Health, PC

  • Chiropractor
  • South Burlington, VT
  • NPI 1578014981
  NPD

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1093311078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BACON ST UNIT 209",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034494",
            "telephone_number": "856-669-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BLAIR PARK RD STE 260",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957548",
            "telephone_number": "802-857-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLECCO",
        "first_name": "BRENDA",
        "middle_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006.0134150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vermont Mental Health Clinic LLC
• Vermont Plastic Surgery PLC
• Vermont Technical College Department of Denta
• Vermont Urogynecology Associates, PC
• Vermont Veterinary Cardiology Services
• Michelle Villeneuve, PT
• Wayne Villeneuve, PT
• John Harry Viskup, D.M.D
• Vizuri Health Center PC
• Corey Voisine, DPT

• Chiropractor in Williston, VT
• Providers in Williston, VT by specialty
• Chiropractor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.