Active NPI
Andee R Stynchula, ND
- Naturopath
- Gorham, ME
National Provider Identifier
1043812480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NP705
- Practice address
- 8 Elm St Ste 1
Gorham, ME 04038-1506 - Phone
- (207) 604-2236
- Fax
- (207) 805-6470
- NPI assigned
- Nov 11, 2020
- Last updated
- Apr 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NP705 | ME | Primary |
Addresses
Primary practice location
8 Elm St Ste 1
Gorham, ME 04038-1506
Mailing address
8 Elm St Ste 1
Gorham, ME 04038-1506
Phone (207) 604-2236
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
| License | State | Type | Specialty |
|---|---|---|---|
| NP705 | ME | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Comfort Wellness LLC | Naturopath | Current | Accepting new patients |
Locations
8 Elm St
#1
Gorham, ME 04038
Phone (207) 604-2236
Organizations & group practices 1
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": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1043812480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 ELM ST STE 1",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381506",
"telephone_number": "207-604-2236",
"fax_number": "207-805-6470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 ELM ST STE 1",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381506",
"telephone_number": "207-604-2236",
"fax_number": "207-805-6470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STYNCHULA",
"first_name": "ANDEE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-11",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "ME",
"license": "NP705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gorham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.