Individual provider Active NPI

Elise Panza, N.D.

  • Naturopath
  • Cheshire, CT
National Provider Identifier
1386041788
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
529 Issued in CT
Practice address
288 Highland Ave
New England Naturopathic Center
Cheshire, CT 06410-2540
Phone
(203) 271-1311
NPI assigned
Dec 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 529 CT Primary

Addresses

Primary practice location

288 Highland Ave
New England Naturopathic Center
Cheshire, CT 06410-2540

Mailing address

288 Highland Ave
New England Naturopathic Center
Cheshire, CT 06410-2540
Phone (203) 271-1311

Other identifiers 1

IdentifierTypeStateIssuer
529OtherCTCT NATUROPATHIC PHYSICIAN LICENSE

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
529CTMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1386041788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 HIGHLAND AVE",
            "address_2": "NEW ENGLAND NATUROPATHIC CENTER",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102540",
            "telephone_number": "203-271-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 HIGHLAND AVE",
            "address_2": "NEW ENGLAND NATUROPATHIC CENTER",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102540",
            "telephone_number": "203-271-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZA",
        "first_name": "ELISE",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT NATUROPATHIC PHYSICIAN LICENSE",
            "identifier": "529",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.