Active NPI
Jessica Lynn Stadtmauer, N.D.
- Naturopath
- South Burlington, VT
National Provider Identifier
1467673756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 099.0047105
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 099.0047105 | VT | MD | Naturopath |
| 1239 | OR | MD | Physical Therapist |
Interoperability endpoints
- 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.