Active NPI
Marlena Anya Pecora, LAC, EAMP
- Acupuncturist
- South Burlington, VT
National Provider Identifier
1497273007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 091.0119920
- Practice address
- 368 Dorset St # 3
South Burlington, VT 05403 - Phone
- (860) 751-2945
- NPI assigned
- Sep 3, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 091.0119920 | VT | Primary |
Addresses
Primary practice location
368 Dorset St # 3
South Burlington, VT 05403
Mailing address
18 Rose Street Apt #2
Burlington, VT 05401
Phone (860) 751-2945
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 |
|---|---|---|---|
| 091.0119920 | VT | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504396800000",
"number": "1497273007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 ROSE STREET APT #2",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "05401",
"telephone_number": "860-751-2945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "368 DORSET ST # 3",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "05403",
"telephone_number": "860-751-2945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECORA",
"first_name": "MARLENA",
"middle_name": "ANYA",
"name_prefix": "Mrs.",
"credential": "LAC, EAMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-03",
"last_updated": "2017-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VT",
"license": "091.0119920",
"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 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.