Heather Lynn Diederich, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006-0000998 Issued in VT

Practice address

368 Dorset St
Ste 3
South Burlington, VT 05403-6236

Phone

(802) 864-4959

NPI assigned

Dec 17, 2006

Last updated

Mar 25, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Back to Wellness PLC

  • Clinic/Center
  • South Burlington, VT
  • NPI 1912211210
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1326101080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 DORSET ST",
            "address_2": "STE 3",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036236",
            "telephone_number": "802-864-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 DORSET ST",
            "address_2": "STE 3",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036236",
            "telephone_number": "802-864-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEDERICH",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-17",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0000998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN1626",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSCE",
            "identifier": "006-0000998",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Devita, O.D.
• Vincent J Devita, O.D.
• Regan Dewhirst, DPT
• Christine Marie Diblasio, PH.D.
• Leyla Dickason, RN
• Shon Christopher Diguglielmo, D.D.S.
• Cara Dimasi, N.P.
• Mark Chipman Dobson, DTR
• Doctor Elizabeth Jensen Psychiatry Professional Corporation (Jensen Psychiatry)
• Susan Dodge, P.T.

• Chiropractor in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Chiropractor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.