Melanie Richardson-Severo, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

091.0134014 Issued in VT

Practice address

21 Carmichael St Ste 101
Essex Junction, VT 05452-3186

Phone

(802) 662-1066

Fax

(802) 347-2095

NPI assigned

Mar 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sun & Moon Acupuncture and Wellness, PLLC

  • Clinic/Center
  • Essex Junction, VT
  • NPI 1164013439
  NPD Authorized official

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1528309978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PEARL ST APT 301",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054524097",
            "telephone_number": "718-219-6053",
            "fax_number": "802-347-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CARMICHAEL ST STE 101",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523186",
            "telephone_number": "802-662-1066",
            "fax_number": "802-347-2095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112154309",
            "country_code": "US",
            "telephone_number": "718-219-6053",
            "fax_number": "347-244-7088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON-SEVERO",
        "first_name": "MELANIE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004937-1",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VT",
            "license": "091.0134014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Tello Ramsay, RN L.AC.
• Holliday Kane Rayfield, M.D.
• Robert A. Reimondi, M.A.
• Bradley Paul Reynolds, M.D.
• Richard Bellino, DDS
• Cynthia Anne Rickson, RN
• Sean K Riehl, MA
• Diane C. Rippa, M.D.
• Clara Naismith Rivers, LICSW
• Roam Wouda Inc

• Acupuncturist in Essex Junction, VT
• Providers in Essex Junction, VT by specialty
• Acupuncturist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.