Amanda C. Goossen, M.AC., L.AC.
Individual provider Active NPI Acupuncturist · Burlington, VT
NPI 1407115355 · NPPES record last updated May 14, 2012
Key facts
- NPI
- 1407115355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 091.0078175 (VT)
- Practice address
- 34 Elmwood Ave
Burlington, VT 05401-4346 - Phone
- (802) 272-7186
- NPI assigned
- May 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091.0078175 | VT | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 091.0078175 | VT | Yes |
Addresses
Primary practice location
34 Elmwood Ave
Burlington, VT 05401-4346
Mailing address
34 Elmwood Ave
Burlington, VT 05401-4346
Phone (802) 272-7186
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.