Individual provider Active NPI

Laura Vecchio, MT

  • Specialist
  • Portland, ME
National Provider Identifier
1245355445
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MT3030 Issued in ME
Practice address
1 City Ctr
Portland, ME 04101-6420
Phone
(207) 773-7788
Fax
(207) 773-7711
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MT3030 ME Primary

Addresses

Primary practice location

1 City Ctr
Portland, ME 04101-6420

Mailing address

82 Lowell St
South Portland, ME 04106-3005
Phone (207) 773-7788

Other identifiers 1

IdentifierTypeStateIssuer
098931OtherMEANTHEM

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MT3030MEMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1245355445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 LOWELL ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063005",
            "telephone_number": "207-773-7788",
            "fax_number": "207-773-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CITY CTR",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041016420",
            "telephone_number": "207-773-7788",
            "fax_number": "207-773-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VECCHIO",
        "first_name": "LAURA",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "MT3030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "098931",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.