JADE MOUNTAIN WELLNESS, INC. (NPI# 1699197103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699197103 |
| Entity Type | Organization |
| Organization Name | JADE MOUNTAIN WELLNESS, INC. |
| Practice Address |
1 Mill St Suite 305 Burlington VT 05401-1530 |
| Practice Telephone | 8023992102 |
| Mailing Telephone | 8023992102 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |
| Authorized Official Name | MR. BRENDAN KELLY (ACUPUNCTURIST) |
| Authorized Official Telephone | 8023992102 |
| Authorized Official Credential | L. AC, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 0910000151 | VT | Other Service Providers |
| Street Address |
1 MILL ST SUITE 305 |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447640651 | Emily Samara | Psychologist | 1 Mill St, Suite 214, Burlington, VT 05401-1530 | 2015-01-26 |
| 1841606720 | Shanti Mama Wellness | Doula | 1 Mill St, Suite 244, Burlington, VT 05401-1530 | 2014-07-11 |
| 1972943199 | Jade Mountain Wellness | Acupuncturist | 1 Mill St, Suite 305, Burlington, VT 05401-1530 | 2013-07-02 |
| 1265878052 | Alissa M. Dumeer | Social Worker | 1 Mill St, Suite Rl 29, Burlington, VT 05401-1530 | 2013-05-20 |
| 1922350990 | Kimberly Hubeck | Social Worker | 1 Mill St, Suite Rl-29, Burlington, VT 05401-1530 | 2012-10-15 |
| 1285982884 | Transitional Services for Youth and Families | Community/Behavioral Health | 1 Mill St, Suite Rl-29, Burlington, VT 05401-1530 | 2012-08-29 |
| 1942570114 | Brendan Kelly | Acupuncturist | 1 Mill St, Suite 305, Burlington, VT 05401-1530 | 2012-01-05 |
| 1508155656 | Piper Clyborne | Social Worker | 1 Mill St, Ste Rl-29, Burlington, VT 05401-1530 | 2011-03-29 |
| 1235435751 | Elizabeth Ann Geran | Acupuncturist | 1 Mill St, Burlington, VT 05401-1530 | 2011-01-31 |
| 1144522392 | Ken Horrocks Counseling LLC | Counselor | 1 Mill St, Suite 175, Burlington, VT 05401-1530 | 2010-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356877708 | Danielle Winchell | Acupuncturist | 265 Milwaukee Ave, Burlington, WI 53105-1839 | 2017-05-04 |
| 1417497900 | Hanna Curry Defuria | Acupuncturist | 30 Cross Pkwy, Burlington, VT 05408-2413 | 2017-03-02 |
| 1033541016 | Katie Lynn Kupietz | Acupuncturist | 343 W Chestnut St, Burlington, WI 53105-1145 | 2013-08-01 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1811233000 | Stephanie Ann Hughes | Acupuncturist | 8921 352nd Ave, Burlington, WI 53105-8940 | 2012-12-17 |
| 1144570953 | Darren Waldron Maynard | Acupuncturist | 431 Pine St Ste 201, Burlington, VT 05401-4726 | 2012-09-19 |
| 1811267941 | Rebecca Mae Padnos | Acupuncturist | 21 Lafountain St, Burlington, VT 05401-4236 | 2012-01-05 |
| 1568759959 | Anah Mcmahon | Acupuncturist | 48w879 Plank Road, Burlington, IL 60109 | 2011-07-06 |
| 1841596160 | Matthew H Golden | Acupuncturist | 257 S Champlain St, Burlington, VT 05401-4717 | 2011-02-03 |
| 1467764688 | Charlotte Angelini | Acupuncturist | 149 Mchenry St, Burlington, WI 53105-1825 | 2010-07-02 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.