Active NPI
Nicole Bonneau
- Chiropractor
- Colchester, VT
National Provider Identifier
1497293765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006.0126911
- Practice address
- 261 Mountain View Dr
Suite 401
Colchester, VT 05446-8046 - Phone
- (802) 655-2664
- NPI assigned
- Feb 7, 2017
- Last updated
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006.0126911 | VT | Primary |
Addresses
Primary practice location
261 Mountain View Dr
Suite 401
Colchester, VT 05446-8046
Mailing address
585 Hanon Dr
Williston, VT 05495-8951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170322001652 | VT | Practitioner - Chiropractic | 3971888579 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1497293765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 HANON DR",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054958951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 MOUNTAIN VIEW DR",
"address_2": "SUITE 401",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054468046",
"telephone_number": "802-655-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNEAU",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VT",
"license": "006.0126911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colchester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.