Individual provider Active NPI

Cora Stover, N.D.

  • Naturopath
  • Orange, CT
National Provider Identifier
1295261154
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
602 Issued in CT
Practice address
650 Chestnut Ridge Rd
Orange, CT 06477-2029
Phone
(508) 221-8120
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X J0000033 MD
Naturopath 175F00000X 602 CT Primary

Addresses

Primary practice location

650 Chestnut Ridge Rd
Orange, CT 06477-2029

Mailing address

650 Chestnut Ridge Rd
Orange, CT 06477-2029
Phone (203) 970-9771

Other practice location 1

176 Thomas Johnson Dr Ste 204
Frederick, MD 21702-4538
Phone (301) 378-9863

Other practice location 2

120 Webster Square Rd
Berlin, CT 06037-2329
Phone (860) 829-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181217002260 CT Order and Referring Only - Preventive MedicinePractitioner - Preventive Medicine 0143565374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000602CTMDMarriage & Family Therapist
602CTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald City Health Associates Naturopath Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1295261154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CHESTNUT RIDGE RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772029",
            "telephone_number": "203-970-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CHESTNUT RIDGE RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772029",
            "telephone_number": "508-221-8120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Thomas Johnson Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024538",
            "country_code": "US",
            "telephone_number": "301-378-9863",
            "fax_number": "301-898-2529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Webster Square Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "CT",
            "postal_code": "060372329",
            "country_code": "US",
            "telephone_number": "860-829-0707",
            "fax_number": "860-828-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOVER",
        "first_name": "CORA",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "MD",
            "license": "J0000033",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

Verify at the official NPI Registry.