Organization Active NPI

Natural Life Wellness LLC

  • Health Service Clinic/Center
  • Shelton, CT
National Provider Identifier
1013511229
Registry record updated Nov 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NATURAL LIFE WELLNESS LLC
Practice address
56 Wakelee Avenue Ext Apt 56
Shelton, CT 06484-3964
Phone
(631) 357-9949
Fax
(475) 252-8417
NPI assigned
Nov 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Zoe Hickson, NDNPI 1558774646
Title
Owner
Phone
(631) 357-9949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

56 Wakelee Avenue Ext Apt 56
Shelton, CT 06484-3964

Mailing address

56 Wakelee Avenue Ext Apt 56
Shelton, CT 06484-3964
Phone (631) 357-9949

Other names 1

  • Dr. Zoe Hickson Llc Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606521600000",
    "number": "1013511229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 WAKELEE AVENUE EXT APT 56",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064843964",
            "telephone_number": "631-357-9949",
            "fax_number": "475-252-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 WAKELEE AVENUE EXT APT 56",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064843964",
            "telephone_number": "631-357-9949",
            "fax_number": "475-252-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL LIFE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-28",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A",
        "authorized_official_last_name": "HICKSON",
        "authorized_official_first_name": "ZOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-357-9949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Zoe Hickson Llc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; 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.