Individual provider Active NPI

Zoe Hickson, ND

  • Naturopath
  • Trumbull, CT
National Provider Identifier
1558774646
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000514 Issued in CT
Practice address
4154 Madison Ave
Trumbull, CT 06611-3563
Phone
(203) 371-1021
Fax
(203) 371-1022
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 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 000514 CT Primary

Addresses

Primary practice location

4154 Madison Ave
Trumbull, CT 06611-3563

Mailing address

4154 Madison Ave
Trumbull, CT 06611-3563
Phone (203) 371-1021

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
000514CTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Life Wellness LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: zoe.hickson.1@18050.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1558774646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4154 MADISON AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113563",
            "telephone_number": "203-371-1021",
            "fax_number": "203-371-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 MADISON AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113563",
            "telephone_number": "203-371-1021",
            "fax_number": "203-371-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKSON",
        "first_name": "ZOE",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.