Mary Justine Hall, ND, LAC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

099.0134061 Issued in VT

Practice address

54 W Twin Oaks Ter Ste 13
South Burlington, VT 05403-7141

Phone

(802) 391-0560

NPI assigned

Jun 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Integrative PLC

  • Naturopath
  • Saint Albans, VT
  • NPI 1437615267
  NPD (past)

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1346735529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 ALLEN RD UNIT 236",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054033806",
            "telephone_number": "774-722-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W TWIN OAKS TER STE 13",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037141",
            "telephone_number": "802-391-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Congress St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "VT",
            "postal_code": "054781745",
            "country_code": "US",
            "telephone_number": "802-391-0560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "MARY",
        "middle_name": "JUSTINE",
        "name_prefix": "Dr.",
        "credential": "ND, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VT",
            "license": "091.0134008",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0134061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Guyette, LICSW
• David Young Haas, MPT
• Joyce Hagan, LICSW
• Mark Alan Haimes, M.D.
• Haley Ibclc, PLLC
• Talia Frances Hall
• Jennifer Hamel
• Patrick R Hamel, PT, DPT, CERT. MDT
• Eva Hamm, MS
• Tracie L Hammond, PA-C

• All providers in South Burlington, VT
• Naturopath in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.