Craig A Cammann, LAC., DAC, DIPL. AC,

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006482 Issued in NY

Practice address

11 N Main St Ste 102
Waterbury, VT 05676-1869

Phone

(802) 560-8818

NPI assigned

Jan 14, 2018

Last updated

Apr 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1515888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1497263396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N MAIN ST STE 102",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761869",
            "telephone_number": "802-560-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N MAIN ST STE 102",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761869",
            "telephone_number": "802-560-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMANN",
        "first_name": "CRAIG",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LAC., DAC, DIPL. AC,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-14",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006482",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "029697",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14483909",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE",
            "identifier": "006482",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE",
            "identifier": "0910134044",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENSE",
            "identifier": "029697",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merton R. Boardman Sr.
• Brain Injury Alliance of Vermont
• Carol L Buck-Rolland, NP
• Richard Andrew Burgoyne, M.D.
• Katharina Cahill, PHARM D
• Laurie A. Carcieri, BS
• Alison Chick, PA
• Chloe Rose Smith, PLLC
• Alice Ann Clark, PHD
• Karinne Comenzo, MA, LICSW, LADC

• Acupuncturist in Waterbury, VT
• Providers in Waterbury, VT by specialty
• Acupuncturist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.