Individual provider Active NPI

Esther Barbara Moerth, DOM,LAC,DIPL.CH

  • Acupuncturist
  • Brattleboro, VT
National Provider Identifier
1639218126
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
731 Issued in NM
Practice address
974 Western Ave
Brattleboro, VT 05301-5114
Phone
(413) 313-7290
NPI assigned
Feb 5, 2007
Last updated
Feb 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 731 NM Primary

Addresses

Primary practice location

974 Western Ave
Brattleboro, VT 05301-5114

Mailing address

PO Box 901
Wendell, MA 01379-0901
Phone (413) 313-7290

Other identifiers 3

IdentifierTypeStateIssuer
NM024G04OtherNMBLUE CROSS BLUE SHIELD ID
201044209OtherNMPRESBYTHERIAN PROVIDER ID
900179757OtherNMTAX ID

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

LicenseStateTypeSpecialty
731NMMDPsychoanalysis Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1639218126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901",
            "city": "WENDELL",
            "state": "MA",
            "postal_code": "013790901",
            "telephone_number": "413-313-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 WESTERN AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053015114",
            "telephone_number": "413-313-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOERTH",
        "first_name": "ESTHER",
        "middle_name": "BARBARA",
        "name_prefix": "Mrs.",
        "credential": "DOM,LAC,DIPL.CH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "NM024G04",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTHERIAN PROVIDER ID",
            "identifier": "201044209",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "900179757",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.