Individual provider Active NPI

Brett Avelin, L. AC.

  • Acupuncturist
  • Westminster, VT
National Provider Identifier
1174726798
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
091-0000169 Issued in VT
Practice address
4923 US Route 5
Westminster, VT 05158-9651
Phone
(802) 722-4023
Fax
(802) 722-4137
NPI assigned
Jun 10, 2007
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 091-0000169 VT Primary

Addresses

Primary practice location

4923 US Route 5
Westminster, VT 05158-9651

Mailing address

4923 US Route 5
Westminster, VT 05158-9651
Phone (802) 722-4023

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
091-0000169VTMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1174726798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 US ROUTE 5",
            "city": "WESTMINSTER",
            "state": "VT",
            "postal_code": "051589651",
            "telephone_number": "802-722-4023",
            "fax_number": "802-722-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 US ROUTE 5",
            "city": "WESTMINSTER",
            "state": "VT",
            "postal_code": "051589651",
            "telephone_number": "802-722-4023",
            "fax_number": "802-722-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVELIN",
        "first_name": "BRETT",
        "credential": "L. AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-10",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VT",
            "license": "091-0000169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.