Jonathan Fleming, LAC
Individual provider Active NPI Acupuncturist · Montpelier, VT
NPI 1477073302 · NPPES record last updated Mar 20, 2018
Key facts
- NPI
- 1477073302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 165564 (CO)
- Practice address
- 156 Main St FL 2
Montpelier, VT 05602-2702 - Phone
- (802) 223-0954
- NPI assigned
- Jun 21, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 165564 | CO | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Acupuncture and Oriental Medicine LLC | Acupuncturist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 165564 | CO | Yes |
Addresses
Primary practice location
156 Main St FL 2
Montpelier, VT 05602-2702
Mailing address
156 Main St FL 2
Montpelier, VT 05602-2702
Phone (802) 223-0954
Other practice location 1
3400 Table Mesa Dr Ste 205
Boulder, CO 80305-5850
Phone (303) 517-3993
Other practice location 2
3400 Table Mesa Dr Ste 205
Boulder, CO 80305-5850
Phone (303) 517-3993
Other providers in Montpelier, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2018. 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.