Individual provider Active NPI

Samantha Aaylah Wellspring, ND

  • Naturopath
  • Bayfield, CO
National Provider Identifier
1508307760
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND.0000146 Issued in CO
Practice address
2421 County Road 502
Bayfield, CO 81122-9006
Phone
(970) 769-2494
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND.0000146 CO Primary
Naturopath 175F00000X 4051 OR

Addresses

Primary practice location

2421 County Road 502
Bayfield, CO 81122-9006

Mailing address

2421 County Road 502
Bayfield, CO 81122-9006
Phone (970) 769-2494

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
ND.0000146COMDNaturopath
4051ORMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1508307760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 COUNTY ROAD 502",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811229006",
            "telephone_number": "970-769-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 COUNTY ROAD 502",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811229006",
            "telephone_number": "970-769-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLSPRING",
        "first_name": "SAMANTHA",
        "middle_name": "AAYLAH",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CO",
            "license": "ND.0000146",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.