Green Mountain Wellness

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

GREEN MOUNTAIN WELLNESS

Practice address

1059 N College Avenue
PO
Thatcher, AZ 85365

Phone

(928) 965-9545

Fax

(928) 350-8707

NPI assigned

Sep 3, 2020

Last updated

Sep 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alissa Stockton, D.O.M.NPI 1871662593

Title

Owner

Phone

(928) 965-9545

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alissa Marjorie Stockton, L.AC., D.O.M.

  • Acupuncturist
  • Thatcher, AZ
  • NPI 1871662593
  NPD Authorized official

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1497369730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 N COLLEGE AVENUE",
            "address_2": "PO",
            "city": "THATCHER",
            "state": "AZ",
            "postal_code": "85365",
            "telephone_number": "928-965-9545",
            "fax_number": "928-350-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 N COLLEGE AVENUE",
            "address_2": "PO",
            "city": "THATCHER",
            "state": "AZ",
            "postal_code": "85365",
            "telephone_number": "928-965-9545",
            "fax_number": "928-350-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "STOCKTON",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-965-9545",
        "authorized_official_credential": "D.O.M."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Thatcher, AZ
• Providers in Thatcher, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.