Organization Active NPI

Upper Valley Holistic Health LLC

  • Clinic/Center
  • White River Junction, VT
National Provider Identifier
1215478060
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
091.0064482 Issued in VT
Legal business name
UPPER VALLEY HOLISTIC HEALTH LLC
Practice address
160 Palmer CT
Ste. 3a
White River Junction, VT 05001-9061
Phone
(802) 649-1700
Fax
(802) 649-1704
NPI assigned
Mar 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Ryan Crowley, L.AC.
Title
Owner/Operator
Phone
(802) 649-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 091.0064482 VT Primary

Addresses

Primary practice location

160 Palmer CT
Ste. 3a
White River Junction, VT 05001-9061

Mailing address

160 Palmer CT
Ste. 3a
White River Junction, VT 05001-9061
Phone (802) 649-1700

National Provider Directory

National Provider Directory

Locations

160 Palmer Ct
Ste 3A
White River Junction, VT 05001
Phone (802) 299-6159

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1215478060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 PALMER CT",
            "address_2": "STE. 3A",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050019061",
            "telephone_number": "802-649-1700",
            "fax_number": "802-649-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PALMER CT",
            "address_2": "STE. 3A",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050019061",
            "telephone_number": "802-649-1700",
            "fax_number": "802-649-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY HOLISTIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "802-649-1700",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VT",
            "license": "091.0064482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.