Andrea Bragdon Vannelli, DAC, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006253 Issued in NY

Practice address

274 Madison Ave RM 704
New York, NY 10016-0718

Phone

(646) 470-8795

NPI assigned

Sep 4, 2018

Last updated

Jan 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1932681285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 N BROADWAY APT 7E",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061047",
            "telephone_number": "646-470-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 MADISON AVE RM 704",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160718",
            "telephone_number": "646-470-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNELLI",
        "first_name": "ANDREA",
        "middle_name": "BRAGDON",
        "name_prefix": "Dr.",
        "credential": "DAC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hetalkumari Jasayantbhai Vankar
• Maya Vankineni, M.D.
• Brian Seth Vann Jr., O.D.
• Elizabeth Vann
• Jessica Robin Vanname, PA-C
• Kathlene CM Vannoy, FNP
• Susan J Vannucci, PHD, RD
• Maija Elizabeth Vanravenswaay, LMSW
• Sarah Haseltine Vantassel, MD
• Katherine Marlene Vanterpool

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.