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Winooski Integrative Medicine PC

Multi-Specialty Clinic/Center in Winooski, VT · enumerated 2022 · authorized official Sam Russo, Principal.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619694478

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Registry record

Entity type Organization (Type 2)
Legal business name Winooski Integrative Medicine PC
Practice address 321 Main St Ste B, Winooski, VT, 05404
Phone (802) 636-4133
Enumeration date Oct 24, 2022
Last updated in NPPES Feb 14, 2025

Taxonomy & classification

171100000X Acupuncturist Other Service Providers Secondary
175F00000X Naturopath Other Service Providers Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Sam Russo
Title Principal
Phone (802) 636-4133

Other identifiers

Identifier Type State Issuer
1015129 Medicaid VT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Winooski Integrative Medicine PC?
Winooski Integrative Medicine PC is registered in NPPES as a Multi-Specialty Clinic/Center (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-14.