Active NPI
Misharo C Fraser, ND
- Naturopath
- Bridgeport, CT
National Provider Identifier
1124783741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 0054
- Practice address
- 75 Wedgewood PL
Bridgeport, CT 06606-1927 - Phone
- (203) 526-5332
- NPI assigned
- Nov 8, 2021
- 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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | 695 | CT | |
| Naturopath | 175F00000X | 0054 | NH | Primary |
Addresses
Primary practice location
75 Wedgewood PL
Bridgeport, CT 06606-1927
Mailing address
75 Wedgewood PL
Bridgeport, CT 06606-1927
Phone (203) 526-5332
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Natural Dr LLC | Naturopath | Past | Accepting new patients |
Interoperability endpoints
- misharo.fraser.1@15369.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Naturopath
- Fairfield, CT
- NPI 1780940916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1124783741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 WEDGEWOOD PL",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066061927",
"telephone_number": "203-526-5332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 WEDGEWOOD PL",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066061927",
"telephone_number": "203-526-5332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "MISHARO",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-08",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CT",
"license": "695",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "NH",
"license": "0054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.