Organization Active NPI

Northeast Natural Medicine, LLC

  • Naturopath
  • Newtown, CT
National Provider Identifier
1376944678
Registry record updated Sep 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000425 Issued in CT
Legal business name
NORTHEAST NATURAL MEDICINE, LLC
Practice address
19 Church Hill Rd
Suite 1
Newtown, CT 06470-1651
Phone
(800) 723-2962
NPI assigned
Sep 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2014

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

Authorized official

Name
Dr. Shawn M. Carney, N.D.NPI 1053646323
Title
Owner
Phone
(800) 723-2962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 000425 CT Primary

Addresses

Primary practice location

19 Church Hill Rd
Suite 1
Newtown, CT 06470-1651

Mailing address

19 Church Hill Rd
Suite 1
Newtown, CT 06470-1651
Phone (800) 723-2962

Other identifiers 1

IdentifierTypeStateIssuer
1053646323OtherCTNPI

Other names 1

  • Dr. Shawn Carney Other name

National Provider Directory

National Provider Directory
Tax ID family
Dr Shawn Carney2 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.

Locations

19 Church Hill Rd
Ste 1
Newtown, CT 06470
Phone (800) 723-2962

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409961600000",
    "number": "1376944678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CHURCH HILL RD",
            "address_2": "SUITE 1",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701651",
            "telephone_number": "800-723-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CHURCH HILL RD",
            "address_2": "SUITE 1",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701651",
            "telephone_number": "800-723-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST NATURAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-06",
        "last_updated": "2014-09-06",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-723-2962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053646323",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Shawn Carney",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newtown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2014; 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.