Individual provider Active NPI

Heather Lane Connolly, D.C

  • Chiropractor
  • Montpelier, VT
National Provider Identifier
1619996477
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006-0001133 Issued in VT
Practice address
338 River St
Suite 8
Montpelier, VT 05602-8242
Phone
(802) 225-8958
NPI assigned
Jul 19, 2006
Last updated
Dec 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006-0001133 VT Primary

Addresses

Primary practice location

338 River St
Suite 8
Montpelier, VT 05602-8242

Mailing address

338 River St
Suite 8
Montpelier, VT 05602-8242
Phone (802) 225-8958

Other identifiers 1

IdentifierTypeStateIssuer
59831OtherVTBC PROVIDER ID

Other names 1

  • Dr. Heather Lane Jerome Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
006-0001133VTMDChiropractor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1619996477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 RIVER ST",
            "address_2": "SUITE 8",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056028242",
            "telephone_number": "802-225-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 RIVER ST",
            "address_2": "SUITE 8",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056028242",
            "telephone_number": "802-225-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "HEATHER",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0001133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER ID",
            "identifier": "59831",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "JEROME",
            "middle_name": "LANE",
            "prefix": "DR.",
            "credential": "D.C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.