Individual provider Active NPI

Matthew Stone, LIC. AC.

  • Acupuncturist
  • Burlington, VT
National Provider Identifier
1194207225
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
091.0133895 Issued in VT
Practice address
2 Church St Ste 2J
Burlington, VT 05401-4462
Phone
(802) 657-3700
Fax
(802) 651-0756
NPI assigned
Sep 5, 2018
Last updated
Sep 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 091.0133895 VT Primary

Addresses

Primary practice location

2 Church St Ste 2J
Burlington, VT 05401-4462

Mailing address

2 Church St Ste 2J
Burlington, VT 05401-4462
Phone (802) 657-3700

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
091.0133895VTMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Suarez Cormier, Licac, L3C Acupuncturist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1194207225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHURCH ST STE 2J",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014462",
            "telephone_number": "802-657-3700",
            "fax_number": "802-651-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHURCH ST STE 2J",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014462",
            "telephone_number": "802-657-3700",
            "fax_number": "802-651-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "MATTHEW",
        "credential": "LIC. AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VT",
            "license": "091.0133895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.