Amy Christine Bienvenu, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00006888 Issued in WA

Practice address

99 Maple St
Middlebury, VT 05753-1595

Phone

(360) 472-1356

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Island Wellness Center

  • Mechanotherapist
  • Friday Harbor, WA
  • NPI 1871024059
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1831217843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4467 RICHVILLE RD",
            "city": "WHITING",
            "state": "VT",
            "postal_code": "057789501",
            "telephone_number": "360-472-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MAPLE ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531595",
            "telephone_number": "360-472-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENVENU",
        "first_name": "AMY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00006888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Burritt Benz, M.D.
• Eric Christopher Berg, CRNA
• Lance Bergmans
• Erin K Bever, MT
• Linda L Bhatia, RPH
• Lee Anne Billings
• Sarah E Binshadler
• Paula M Birdsall, RD
• Caitlin Bone, D.C.
• Sally Eleanor Borden

• All providers in Middlebury, VT
• Specialist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.