Individual provider Active NPI

Joshua Brooks Corn, N.D.

  • Naturopath
  • Stowe, VT
National Provider Identifier
1154871622
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
099.0134145 Issued in VT
Practice address
645 S Main St
Stowe, VT 05672-4595
Phone
(802) 253-2340
Fax
(802) 253-2239
NPI assigned
Oct 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 4025 OR
Naturopath 175F00000X 0004 MA
Naturopath 175F00000X 0065 NH
Naturopath 175F00000X 099.0134145 VT Primary

Addresses

Primary practice location

645 S Main St
Stowe, VT 05672-4595

Mailing address

PO Box 332
Stowe, VT 05672-0332
Phone (802) 253-2340

Other practice location 1

254 Commercial St Ste 258
Portland, ME 04101-4664
Phone (970) 596-1877

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
0065NHMDAddiction (Substance Use Disorder) Counselor
0004MAMDNaturopath
099.0134145VTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Stowe Natural Family Wellness, PLLC Naturopath PastSince Nov 16, 2021 Accepting new patients
Earth Source Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joshua.corn.1@11045.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1475971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1154871622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056720332",
            "telephone_number": "802-253-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S MAIN ST",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056724595",
            "telephone_number": "802-253-2340",
            "fax_number": "802-253-2239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Commercial St Ste 258",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041014664",
            "country_code": "US",
            "telephone_number": "970-596-1877",
            "fax_number": "207-405-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORN",
        "first_name": "JOSHUA",
        "middle_name": "BROOKS",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-09",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4025",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "MA",
            "license": "0004",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NH",
            "license": "0065",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0134145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stowe, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.