Vermont Center for Regenerative Medicine

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

VERMONT CENTER FOR REGENERATIVE MEDICINE

Practice address

71 Knight LN Ste 20
Williston, VT 05495-4514

Phone

(802) 734-9455

Fax

(678) 574-5605

NPI assigned

Jan 23, 2020

Organization subpart

No

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

Authorized official

Name

Rebecca E Fields

Title

Office Manager

Phone

(802) 734-9455

Specialties & licenses 1

Addresses

Other names 1

• Lake Champlain Regen Medical Doing business as

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1356971972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 KNIGHT LN STE 20",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054954514",
            "telephone_number": "802-734-9455",
            "fax_number": "678-574-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 KNIGHT LN STE 20",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054954514",
            "telephone_number": "802-734-9455",
            "fax_number": "678-574-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT CENTER FOR REGENERATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "802-734-9455"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Champlain Regen Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• United Seating and Mobility, LLC
• University of Vermont Medical Center Inc
• Alexander Van Dyck, OD
• Kristiana Vanderhoof, D.P.T.
• Elisa Vautier, RN
• Vermont Counseling LLC
• Vermont CVS Pharmacy LLC
• Vermont Diagnostic Imaging LLC
• Vermont Endodontics PLLC
• Vermont Family Eye Care, Inc.

• Multi-Specialty Clinic/Center in Williston, VT
• Providers in Williston, VT by specialty
• Multi-Specialty Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.