Individual provider Active NPI

Katelyn J Lieb, ND

  • Naturopath
  • Stamford, CT
National Provider Identifier
1013519719
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
5.000673 Issued in CT
Practice address
47 Oak St Ste 290
Stamford, CT 06905-5320
Phone
(203) 703-9033
Fax
(475) 268-1002
NPI assigned
Nov 9, 2020
Last updated
Aug 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 5.000673 CT Primary

Addresses

Primary practice location

47 Oak St Ste 290
Stamford, CT 06905-5320

Mailing address

1921 Boston Post Rd Ste 2&3
Westbrook, CT 06498-2171
Phone (860) 661-5824

Other practice location 1

1921 Boston Post Rd
Westbrook, CT 06498-2171
Phone (860) 661-5824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5.000673CTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Fernwood Holistic Health Naturopath CurrentSince Oct 13, 2024 Accepting new patients
Katelyn Lieb ND LLC Naturopath CurrentSince Jan 10, 2021 Accepting new patients

Locations

47 Oak St
Ste 290
Stamford, CT 06905
Phone (203) 276-1756

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1013519719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 BOSTON POST RD STE 2&3",
            "city": "WESTBROOK",
            "state": "CT",
            "postal_code": "064982171",
            "telephone_number": "860-661-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 OAK ST STE 290",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055320",
            "telephone_number": "203-703-9033",
            "fax_number": "475-268-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "CT",
            "postal_code": "064982171",
            "country_code": "US",
            "telephone_number": "860-661-5824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEB",
        "first_name": "KATELYN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "5.000673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.