Individual provider Active NPI

Emma Pascal Wilder, ND

  • Naturopath
  • Colchester, VT
National Provider Identifier
1821636903
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
099.0134192 Issued in VT
Practice address
302 Mountain View Dr Ste 103
Colchester, VT 05446-8081
Phone
(802) 860-3366
NPI assigned
Dec 19, 2019
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 0000193 CO
Naturopath 175F00000X 099.0134192 VT Primary

Addresses

Primary practice location

302 Mountain View Dr Ste 103
Colchester, VT 05446-8081

Mailing address

302 Mountain View Dr Ste 103
Colchester, VT 05446-8081
Phone (802) 860-3366

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.mountainviewnaturalmedicine.com

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
0000193COMDNaturopath
099.0134192VTMDNaturopath

Interoperability endpoints

  • Direct secure messaging: emma.wilder.1@23768.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1821636903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MOUNTAIN VIEW DR STE 103",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468081",
            "telephone_number": "802-860-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MOUNTAIN VIEW DR STE 103",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468081",
            "telephone_number": "802-860-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "EMMA",
        "middle_name": "PASCAL",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CO",
            "license": "0000193",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0134192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mountainviewnaturalmedicine.com",
            "affiliation": "N",
            "address_1": "302 Mountain View Dr Ste 103",
            "city": "Colchester",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054468081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.