Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417344250 Individual Practitioner Female Practitioner

Jennifer Etheridge , LAC

Acupuncturist • Randolph, VT

Professional Overview & Biography Verified Profile Summary

Jennifer Etheridge, LAC is a registered healthcare professional specializing in Acupuncturist in Randolph, VT. Practice services are available at 4 SUMMER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4 Summer St

Randolph, VT 050601175

Telephone 8022467750

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Randolph, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Randolph, VT (129 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License VT 091.0098544

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Leslie Howard-Mcintyre , MA, LCMHC

Counselor - Mental Health

NPI 1558495473

Master of Arts, Licensed Clinical Mental Health Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2015

Registered at 4 SUMMER ST, RANDOLPH, VT 050601175 (Tel: 8022467750)

📍
Updated Business Mailing Address April 20, 2015

Registered at 17 SUMMER ST, RANDOLPH, VT 050601162 (Tel: 8022467750)

👤
Provider Name / Credentials Updated April 20, 2015

Recorded as JENNIFER ETHERIDGE, L.AC.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2015

Acupuncturist (License #091.0098544 in VT)

🟢
Initial NPI Registration & Enumeration April 20, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417344250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2015
Last Update: April 20, 2015
Sole Proprietor: Yes

Mailing Address

17 Summer St

Randolph, VT 050601162

Phone: 8022467750

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.