Darren Waldron Maynard, LAC, C.SMA

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

091.0107964 Issued in VT

Practice address

431 Pine St Ste 201
Burlington, VT 05401-4726

Phone

(802) 324-3898

NPI assigned

Sep 19, 2012

Last updated

Jul 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1144570953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 PINE ST STE 201",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014726",
            "telephone_number": "802-324-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 PINE ST STE 201",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014726",
            "telephone_number": "802-324-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "DARREN",
        "middle_name": "WALDRON",
        "name_prefix": "Mr.",
        "credential": "LAC, C.SMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004865",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00094000",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VT",
            "license": "091.0107964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Breen May, M.D.
• Jennifer May, R.D., C.D.
• Maya Kunigis Counseling, LLC
• Paul J Mayer, M.D.
• Alan Michael Maynard, LAT, ATC
• Vie Mazur
• Emily Mazzulla, PH.D.
• Francine Mbayu
• John W MC Avoy, RPH
• Andrea June McBride, PT

• Acupuncturist in Burlington, VT
• Providers in Burlington, VT by specialty
• Acupuncturist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.