Stefan Matthew Grace, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

091.0125591 Issued in VT

Practice address

20 Technology Dr Unit 7
Brattleboro, VT 05301-9181

Phone

(503) 913-8551

NPI assigned

Feb 26, 2015

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Confluence Acupuncture LLC

  • Acupuncturist
  • Brattleboro, VT
  • NPI 1902343098
  NPD Authorized official
• 12 Red Hammers, LLC

  • Acupuncturist
  • Portland, OR
  • NPI 1821462920
  NPD (past) Authorized official

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1356733422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 RIVER RD",
            "city": "NEWFANE",
            "state": "VT",
            "postal_code": "053459667",
            "telephone_number": "503-913-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TECHNOLOGY DR UNIT 7",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053019181",
            "telephone_number": "503-913-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "STEFAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-26",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VT",
            "license": "091.0125591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902343098",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katharine Golding, LCMHC
• Elizabeth Goodridge, MD
• Ann Marie Gorham, APRN
• Michael Gouin
• Grace Urological Inc
• Curtis Graf, PH.D.
• Gary Graff, MA LADC
• Green Mountain Counseling Associates
• Judy Beryl Greenberg, M.A.
• Kathryn Mary Greenen, M.A.

• All providers in Brattleboro, VT
• Acupuncturist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.