Individual provider Active NPI

Athena Marie Healy, D.C.

  • Chiropractor
  • Danbury, CT
National Provider Identifier
1093781262
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001108 Issued in CT
Practice address
132 Federal Rd
Suite 103
Danbury, CT 06811-4047
Phone
(120) 377-8222
Fax
(120) 377-8059
NPI assigned
Feb 27, 2006
Last updated
Feb 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001108 CT Primary

Addresses

Primary practice location

132 Federal Rd
Suite 103
Danbury, CT 06811-4047

Mailing address

132 Federal Rd
Suite 103
Danbury, CT 06811-4047
Phone (120) 377-8222

Other identifiers 1

IdentifierTypeStateIssuer
10442675OtherCTCAQH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
001108CTMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1093781262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 FEDERAL RD",
            "address_2": "SUITE 103",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114047",
            "telephone_number": "120-377-8222",
            "fax_number": "120-377-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 FEDERAL RD",
            "address_2": "SUITE 103",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114047",
            "telephone_number": "120-377-8222",
            "fax_number": "120-377-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "ATHENA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10442675",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.