Individual provider Active NPI

Mitya Schoppe, DACM, BSN, LAC

  • Acupuncturist
  • Lebanon, NH
National Provider Identifier
1194333013
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
303 Issued in NH
Practice address
24 Hanover St Ste 11
Lebanon, NH 03766-1334
Phone
(802) 456-4581
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0260024002 VT
Acupuncturist 171100000X 303 NH Primary

Addresses

Primary practice location

24 Hanover St Ste 11
Lebanon, NH 03766-1334

Mailing address

24 Hanover St Ste 11
Lebanon, NH 03766-1334
Phone (802) 456-4581

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://crvacu.janeapp.com

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)
Enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
0260024002VTMDRegistered Nurse
303NHMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mitya Schoppe, Dacm, RN, L.Ac., PLLC Acupuncturist CurrentSince Sep 20, 2020 Accepting new patients

Locations

18 N Main St
White River Junction, VT 05001
Phone (413) 626-6968

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1194333013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HANOVER ST STE 11",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661334",
            "telephone_number": "802-456-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HANOVER ST STE 11",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661334",
            "telephone_number": "802-456-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOPPE",
        "first_name": "MITYA",
        "name_prefix": "Dr.",
        "credential": "DACM, BSN, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2022-12-05",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "0260024002",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NH",
            "license": "303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://crvacu.janeapp.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "24 Hanover St Ste 11",
            "city": "Lebanon",
            "state": "NH",
            "country_code": "US",
            "postal_code": "037661334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.