Active NPI
Enrico Liva, ND
- Naturopath
- Old Saybrook, CT
National Provider Identifier
1063408524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 00061
- Practice address
- 11 Cromwell CT
Old Saybrook, CT 06475-2510 - Phone
- (860) 306-4045
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | |||
| Naturopath | 175F00000X | 00061 | CT | Primary |
Addresses
Primary practice location
11 Cromwell CT
Old Saybrook, CT 06475-2510
Mailing address
11 Cromwell CT
Old Saybrook, CT 06475-2510
Phone (860) 306-4045
Other practice location 1
87 Bernie Orourke Dr
Middletown, CT 06457-2510
Phone (860) 347-8600
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 |
|---|---|---|---|
| 00061 | CT | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Center for Natural Health | Naturopath | Past | Accepting new patients |
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.
-
- Naturopath
- Middletown, CT
- NPI 1780920983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1063408524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 CROMWELL CT",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064752510",
"telephone_number": "860-306-4045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 CROMWELL CT",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064752510",
"telephone_number": "860-306-4045"
}
],
"practiceLocations": [
{
"address_1": "87 Bernie Orourke Dr",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "CT",
"postal_code": "064572510",
"country_code": "US",
"telephone_number": "860-347-8600",
"fax_number": "860-347-8434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIVA",
"first_name": "ENRICO",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CT",
"license": "00061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.