NPIMap

Organization Active NPI

Integrated Medicine Naturopathic Primary Care

  • Naturopath
  • Middlebury, VT
National Provider Identifier
1124313986
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
099-0000230 Issued in VT
Legal business name
INTEGRATED MEDICINE NATUROPATHIC PRIMARY CARE
Practice address
1641 Route 7 S
Middlebury, VT 05753-8806
Phone
(802) 458-0488
Fax
(802) 458-0489
NPI assigned
Jun 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Dr. Emily M Cannon, N.D.
Title
Owner
Phone
(802) 458-0488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 099-0000230 VT Primary

Addresses

Primary practice location

1641 Route 7 S
Middlebury, VT 05753-8806

Mailing address

PO Box 705
East Middlebury, VT 05740-0705
Phone (802) 458-0488

Other identifiers 1

IdentifierTypeStateIssuer
1015227MedicaidVT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1124313986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 705",
            "city": "EAST MIDDLEBURY",
            "state": "VT",
            "postal_code": "057400705",
            "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": "1641 ROUTE 7 S",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538806",
            "telephone_number": "802-458-0488",
            "fax_number": "802-458-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICINE NATUROPATHIC PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-458-0488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099-0000230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015227",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 9, 2011; 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.