Active NPI
Teresa Baltzell, LAC
- Acupuncturist
- South Reading, VT
National Provider Identifier
1245692128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 091.0064484
- Practice address
- 2844 Tyson Rd
South Reading, VT 05153-9673 - Phone
- (802) 236-3623
- NPI assigned
- Mar 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
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
| License | State | Type | Specialty |
|---|---|---|---|
| 091.0064484 | VT | MD | Acupuncturist |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 091.0064484 | VT | Primary |
Addresses
Primary practice location
2844 Tyson Rd
South Reading, VT 05153-9673
Mailing address
2844 Tyson Rd
South Reading, VT 05153-9673
Phone (802) 236-3623
NPI Registry JSON
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1245692128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2844 TYSON RD",
"city": "SOUTH READING",
"state": "VT",
"postal_code": "051539673",
"telephone_number": "802-236-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2844 TYSON RD",
"city": "SOUTH READING",
"state": "VT",
"postal_code": "051539673",
"telephone_number": "802-236-3623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALTZELL",
"first_name": "TERESA",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VT",
"license": "091.0064484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Reading, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.