Individual provider Active NPI

Lidia Tomulet, N.D.

  • Naturopath
  • Durham, NC
National Provider Identifier
1386969707
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
099.0064705 Issued in VT
Practice address
819 Broad St
Durham, NC 27705-4137
Phone
(919) 641-3562
Fax
(888) 688-8049
NPI assigned
Mar 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 099.0064705 VT Primary

Addresses

Primary practice location

819 Broad St
Durham, NC 27705-4137

Mailing address

819 Broad St
Durham, NC 27705-4137
Phone (919) 641-3562

Other names 1

  • Lidia Matasaru Former name

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
099.0064705VTMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1386969707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054137",
            "telephone_number": "919-641-3562",
            "fax_number": "888-688-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054137",
            "telephone_number": "919-641-3562",
            "fax_number": "888-688-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMULET",
        "first_name": "LIDIA",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0064705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIDIA",
            "last_name": "MATASARU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.