Organization Active NPI

Fernwood Holistic Health

  • Acupuncturist
  • Westbrook, CT
National Provider Identifier
1033939327
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
FERNWOOD HOLISTIC HEALTH
Practice address
1921 Boston Post Rd
Westbrook, CT 06498-2171
Phone
(860) 661-5824
Fax
(860) 661-5843
NPI assigned
Oct 12, 2024
Last updated
Mar 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Authorized official

Name
Donna Alqueza
Title
Billing Specialist
Phone
(860) 961-8583

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary
Naturopath 175F00000X

Addresses

Primary practice location

1921 Boston Post Rd
Westbrook, CT 06498-2171

Mailing address

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2180468Fernwood Holistic Health1921 Boston Post Rd, Westbrook, CT 06498Certificate of waiverMar 15, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742601600000",
    "number": "1033939327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 BOSTON POST RD UNIT 2&3",
            "city": "WESTBROOK",
            "state": "CT",
            "postal_code": "064982171",
            "telephone_number": "860-661-5824",
            "fax_number": "860-661-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 BOSTON POST RD",
            "city": "WESTBROOK",
            "state": "CT",
            "postal_code": "064982171",
            "telephone_number": "860-661-5824",
            "fax_number": "860-661-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNWOOD HOLISTIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-12",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A",
        "authorized_official_last_name": "ALQUEZA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "BILLING  SPECIALIST",
        "authorized_official_telephone_number": "860-961-8583"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.