Vermont Holistic Health PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

101.0107976 Issued in VT

Legal business name

VERMONT HOLISTIC HEALTH PLLC

Practice address

5053 Main St
Manchester Center, VT 05255-9771

Phone

(802) 293-2929

Fax

(802) 419-8311

NPI assigned

Aug 30, 2016

Last updated

May 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William L Goodwin, FNPNPI 1356770630

Title

Owner

Phone

(802) 293-2929

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Vermont Housecalls LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Goodwin, ARNP

  • Nurse Practitioner
  • Manchester Center, VT
  • NPI 1356770630
  NPD (past) Authorized official

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1326594359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 STAPLES RD",
            "city": "DANBY",
            "state": "VT",
            "postal_code": "057399341",
            "telephone_number": "802-293-2929",
            "fax_number": "802-419-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5053 MAIN ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052559771",
            "telephone_number": "802-293-2929",
            "fax_number": "802-419-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT HOLISTIC HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-293-2929",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0107976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Y400291819",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Y400311948",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vermont Housecalls LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Family Nurse Practitioner in Manchester Center, VT
• Providers in Manchester Center, VT by specialty
• Family Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.