Active NPI
Thea R Marx, ND
- Naturopath
- Fairfield, CT
National Provider Identifier
1295442275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 716
- Practice address
- 1817 Black Rock Tpke Ste 205
Fairfield, CT 06825-3546 - Phone
- (203) 717-1339
- Fax
- (203) 612-4414
- NPI assigned
- Oct 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 716 | CT | Primary |
Addresses
Primary practice location
1817 Black Rock Tpke Ste 205
Fairfield, CT 06825-3546
Mailing address
249 Hawthorne Ave
Derby, CT 06418-1120
Phone (307) 272-8432
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
| License | State | Type | Specialty |
|---|---|---|---|
| 716 | CT | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1295442275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 HAWTHORNE AVE",
"city": "DERBY",
"state": "CT",
"postal_code": "064181120",
"telephone_number": "307-272-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 BLACK ROCK TPKE STE 205",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068253546",
"telephone_number": "203-717-1339",
"fax_number": "203-612-4414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARX",
"first_name": "THEA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CT",
"license": "716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.