Individual provider Active NPI

Kerry Boyle, L.AC.

  • Acupuncturist
  • Montpelier, VT
National Provider Identifier
1881834331
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
091-0000203 Issued in VT
Practice address
200 Elm St
Montpelier, VT 05602-2205
Phone
(802) 223-0954
NPI assigned
Feb 24, 2009
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 091-0000203 VT Primary

Addresses

Primary practice location

200 Elm St
Montpelier, VT 05602-2205

Mailing address

200 Elm St
Montpelier, VT 05602-2205
Phone (802) 223-0954

Other practice location 1

373 Blair Park Rd
Williston, VT 05495-8037
Phone (802) 223-0954

Other names 1

  • Kerry Jenni Former name

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
091-0000203VTMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Acupuncture and Oriental Medicine LLC Acupuncturist CurrentSince Oct 13, 2024 Accepting new patients

Locations

156 Main St
Unit 103
Montpelier, VT 05602
Phone (802) 223-0954

373 Blair Park Rd
Williston, VT 05495
Phone (802) 495-0657

373 Blair Park Rd
Unit 201
Williston, VT 05495
Phone (802) 448-5006

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1881834331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ELM ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022205",
            "telephone_number": "802-223-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELM ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022205",
            "telephone_number": "802-223-0954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "373 Blair Park Rd",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "VT",
            "postal_code": "054958037",
            "country_code": "US",
            "telephone_number": "802-223-0954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "KERRY",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VT",
            "license": "091-0000203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "JENNI",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.