Individual provider Active NPI

Natalie Colicci-Favretto, N.D.

  • Naturopath
  • Trumbull, CT
National Provider Identifier
1205062205
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000420 Issued in CT
Practice address
2 Corporate Dr Ste 206
Trumbull, CT 06611-1376
Phone
(203) 371-1021
NPI assigned
Jun 3, 2009
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 000843 CT
Naturopath 175F00000X 000420 CT Primary

Addresses

Primary practice location

2 Corporate Dr Ste 206
Trumbull, CT 06611-1376

Mailing address

2 Corporate Dr Ste 206
Trumbull, CT 06611-1376
Phone (203) 371-1021

Other names 1

  • Dr. Natalie Colicci Professional name

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

LicenseStateTypeSpecialty
000843CTMDClinical Social Worker
000420CTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Naturopathic Family Medicine and Nutrition Center, LLC Nutritionist CurrentSince Mar 30, 2025 Accepting new patients

Locations

2 Corporate Dr
Ste 112
Trumbull, CT 06611
Phone (203) 452-9723

2 Corporate Dr
Ste 206
Trumbull, CT 06611
Phone (203) 371-1021

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18050/brand/1/csg/1/fhir/r4
  • Direct secure messaging: natalie.colicci.1@18050.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1205062205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DR STE 206",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111376",
            "telephone_number": "203-371-1021",
            "fax_number": "203-371-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DR STE 206",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111376",
            "telephone_number": "203-371-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLICCI-FAVRETTO",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CT",
            "license": "000843",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "COLICCI",
            "prefix": "DR.",
            "credential": "ND",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.