Active NPI
Lynnette Michelle Guida, N.D., L.AC
- Naturopath
- Middletown, CT
National Provider Identifier
1104961168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 000280
- Practice address
- 670 Newfield St
Unit C
Middletown, CT 06457-1867 - Phone
- (860) 347-8800
- Fax
- (860) 347-8801
- NPI assigned
- Feb 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 000321 | CT | |
| Naturopath | 175F00000X | 000280 | CT | Primary |
Addresses
Primary practice location
670 Newfield St
Unit C
Middletown, CT 06457-1867
Mailing address
670 Newfield St
Unit C
Middletown, CT 06457-1867
Phone (860) 347-8800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000280 | Other | CT | CT NATUROPATHIC LICENSE N |
| 691926 | Other | CT | CONNECTICARE PROVIDER ID |
| 110000280CT02 | Other | CT | ANTHEM PROVIDER ID NUMBER |
| 000321 | Other | CT | CT ACUPUNCTURIST LICENSE |
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 |
|---|---|---|---|
| 000280 | CT | MD | Naturopath |
| 000321 | CT | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226534400000",
"number": "1104961168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 NEWFIELD ST",
"address_2": "UNIT C",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064571867",
"telephone_number": "860-347-8800",
"fax_number": "860-347-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 NEWFIELD ST",
"address_2": "UNIT C",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064571867",
"telephone_number": "860-347-8800",
"fax_number": "860-347-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDA",
"first_name": "LYNNETTE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "N.D., L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2008-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "000321",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CT",
"license": "000280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT NATUROPATHIC LICENSE N",
"identifier": "000280",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE PROVIDER ID",
"identifier": "691926",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER ID NUMBER",
"identifier": "110000280CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT ACUPUNCTURIST LICENSE",
"identifier": "000321",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.