Individual provider Active NPI

Jessica Lynn Stadtmauer, N.D.

  • Naturopath
  • South Burlington, VT
National Provider Identifier
1467673756
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
099.0047105 Issued in VT
Practice address
185 Tilley Dr
South Burlington, VT 05403-4484
Phone
(802) 806-3366
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1239 OR
Naturopath 175F00000X 099.0047105 VT Primary

Addresses

Primary practice location

185 Tilley Dr
South Burlington, VT 05403-4484

Mailing address

167 Everbreeze Dr
Colchester, VT 05446-1543
Phone (704) 609-1430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
099.0047105VTMDNaturopath
1239ORMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: jessica.stadtmauer.1@32189.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1467673756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 EVERBREEZE DR",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054461543",
            "telephone_number": "704-609-1430",
            "fax_number": "802-417-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 TILLEY DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034484",
            "telephone_number": "802-806-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADTMAUER",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1239",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0047105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.