Natura Medica

Primary specialty

NaturopathTaxonomy code 175F00000X

License

000085 Issued in CT

Legal business name

NATURA MEDICA

Practice address

12 Roosevelt Ave
Mystic, CT 06355-2809

Phone

(860) 572-9566

Fax

(860) 572-7318

NPI assigned

Nov 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Deirdre Joan O'Connor, ND

Title

Owner

Phone

(860) 572-9566

Specialties & licenses 1

Addresses

Tax ID family

Deirdre J O'Connor ND2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Deirdre J. O'Connor, N.D.

  • Naturopath
  • Mystic, CT
  • NPI 1548449119
  NPD tax ID

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1164896189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ROOSEVELT AVE",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552809",
            "telephone_number": "860-572-9566",
            "fax_number": "860-572-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ROOSEVELT AVE",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552809",
            "telephone_number": "860-572-9566",
            "fax_number": "860-572-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURA MEDICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-572-9566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mystic River Ambulance Association, Inc
• Mystic Services, LLC (Mystic Bridge to Wellness)
• Mystic Spine & Sport LLC
• Mystic Therapy, LLC.
• Mystic Westerly Orthodontics, PC
• John Jeffrey Nelson, M.D.
• New England Center for Natural Behavioral Health, LLC
• New England Chiropractic, LLC
• Kayla Nickerson Gauthier, LMFT
• Adam F Niedelman, MD

• Naturopath in Mystic, CT
• Providers in Mystic, CT by specialty
• Naturopath in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.