Edward Wolgram Vernon II, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 12973 Issued in CA

Practice address

2358 Plank Rd
Fredericksburg, VA 22401-4900

Phone

(540) 847-6985

NPI assigned

Aug 28, 2012

Sex

Male

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.

• Acupuncture Associates of New York PLLC

  • Acupuncturist
  • Huntington, NY
  • NPI 1013880988
  NPD Authorized official
• Acupuncture Fredericksburg

  • Acupuncturist
  • Fredericksburg, VA
  • NPI 1750736146
  NPD (past) Authorized official

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1962750794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014900",
            "telephone_number": "540-847-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014900",
            "telephone_number": "540-847-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "EDWARD",
        "middle_name": "WOLGRAM",
        "name_suffix": "II",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-28",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 12973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swati Vellanki, DDS
• Velocicare by Rosa LLC
• Kate Vennergrund, MA, BCBA
• Venture Health Corp
• Karen Verdon, LPC, LMHP
• Vertam Services
• Samantha Jane Vestal
• Shay Vestal, PT
• Crystal Dawn Vial
• Victoria Banner Vice, PT, DPT

• Acupuncturist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Acupuncturist in Virginia

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