Misty L Williams, MAC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

1233 Shelburne Rd Ste 360
South Burlington, VT 05403-7752

Phone

(802) 238-5823

NPI assigned

Dec 24, 2014

Last updated

Aug 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1419379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1881082964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 BROWNS TRACE RD",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054652009",
            "telephone_number": "802-238-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD STE 360",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037752",
            "telephone_number": "802-238-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MISTY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-24",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Wilder
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• Kylie Williams
• Mark E Williams, LCMHC
• Matthew Thomas Williams, PA
• Olivia Williams
• Erik Willis
• Lindsey Willis, LICSW
• Williston Road Family Dental , PLC
• Wind River Therapy, LLC

• Massage Therapist in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Massage Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.