Individual provider Active NPI

Jason Wolstenholme, D.C.

  • Chiropractor
  • Williston, VT
National Provider Identifier
1790924892
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006.0056369 Issued in VT
Practice address
372 Hurricane LN Ste 102
Williston, VT 05495-2080
Phone
(802) 497-1002
NPI assigned
Feb 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006.0056369 VT Primary

Addresses

Primary practice location

372 Hurricane LN Ste 102
Williston, VT 05495-2080

Mailing address

372 Hurricane LN Ste 102
Williston, VT 05495-2080
Phone (802) 497-1002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181121002179 VT Practitioner - Chiropractic 1456605823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

372 Hurricane LN
Suite 102
Williston, VT 05495-2080
Phone (802) 497-1002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Movewell Spine & Sport, LLC Chiropractor CurrentSince Sep 8, 2018 Accepting new patients

Locations

372 Hurricane Ln
Ste 102
Williston, VT 05495
Phone (802) 497-1002

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1790924892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 HURRICANE LN STE 102",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952080",
            "telephone_number": "802-497-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 HURRICANE LN STE 102",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952080",
            "telephone_number": "802-497-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLSTENHOLME",
        "first_name": "JASON",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-12",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006.0056369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.