- Practice location
- 321 Main St Ste B, Winooski, VT 05404-1380
- Phone
- 802-636-4133
- Fax
- —
- Last updated
- February 14, 2025
Winooski Integrative Medicine PC is a healthcare organization based in Winooski, VT. Winooski Integrative Medicine PC practices in Winooski, VT. The NPI Number for Winooski Integrative Medicine PC is 1619694478. The current practice location address for Winooski Integrative Medicine PC is 321 Main St Ste B, Winooski, VT 05404-1380 and can be reached out via phone at 802-636-4133.
Provider Profile Details
- NPI Number
- 1619694478
- Provider Name
- Winooski Integrative Medicine PC
- Provider Entity Type
- Organization
- Address
- 321 Main St Ste B, Winooski, VT 05404-1380
- Phone Number
- 802-636-4133
- Primary Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X
- Organization Subpart
- No
- Authorized Official
- Sam Russo, ND, LAC, RMSK · Principal · 802-636-4133
- Provider Enumeration Date
- October 24, 2022
- Last Update Date
- February 14, 2025
- Certification Date
- February 14, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 321 Main St Ste B
Winooski, VT 05404-1380 - City
- Winooski
- State
- Vermont
- Zip
- 05404-1380
- Phone Number
- 802-636-4133
Provider Business Mailing Address Details
- Address
- 321 Main St Ste B
Winooski, VT 05404-1380 - City
- Winooski
- State
- VT
- Zip
- 05404-1380
- Phone Number
- 802-636-4133
License Information
- Taxonomy (1)
- Acupuncturist · 171100000X
- Taxonomy (2)
- Naturopath · 175F00000X
- Taxonomy (3)
- Clinic/Center, Multi-Specialty · 261QM1300X · Primary
- Taxonomy (4)
- Nurse Practitioner · 363L00000X
- Taxonomy (5)
- Nurse Practitioner, Family · 363LF0000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Winooski Integrative Medicine PC?
The NPI number of Winooski Integrative Medicine PC is 1619694478. It was assigned on October 24, 2022 and is currently active in the NPPES registry.
What is the specialty of Winooski Integrative Medicine PC?
Winooski Integrative Medicine PC is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X).
Where does Winooski Integrative Medicine PC practice?
The practice location is 321 Main St Ste B, Winooski, VT 05404-1380. The office can be reached at 802-636-4133 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619694478 directly on the NPPES registry website.