Olde Tyme Health, LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

OLDE TYME HEALTH, LLC

Practice address

4949 Diamond Dr
High Ridge, MO 63049-2760

Phone

(314) 562-6411

NPI assigned

Jun 23, 2025

Last updated

Jun 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sheri E Dunaway

Title

Owner

Phone

(314) 562-6411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1285521294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 DIAMOND DR",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630492760",
            "telephone_number": "314-562-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 DIAMOND DR",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630492760",
            "telephone_number": "314-562-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDE TYME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-22",
        "status": "A",
        "authorized_official_last_name": "DUNAWAY",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-562-6411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Naturopath in High Ridge, MO
• Providers in High Ridge, MO by specialty
• Naturopath in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.