NPIMap

Individual provider Active NPI

Michael William Gravett, N.D.

  • Naturopath
  • South Burlington, VT
National Provider Identifier
1710120050
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1498 Issued in OR
Practice address
185 Tilley Dr
Suite #51
South Burlington, VT 05403-4484
Phone
(317) 654-5888
NPI assigned
Apr 16, 2009
Last updated
May 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1498 OR Primary
Naturopath 175F00000X 099.0120401 VT

Addresses

Primary practice location

185 Tilley Dr
Suite #51
South Burlington, VT 05403-4484

Mailing address

5941 Thompson Park Blvd
Indianapolis, IN 46237-4417
Phone (317) 654-5888

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
1498ORMDClinical Psychologist
099.0120401VTMDNaturopath

Interoperability endpoints

  • Direct secure messaging: michael.gravett.1@23768.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1710120050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 THOMPSON PARK BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462374417",
            "telephone_number": "317-654-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 TILLEY DR",
            "address_2": "SUITE #51",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034484",
            "telephone_number": "317-654-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVETT",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-16",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1498",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0120401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.