Kaitlyn Staal, ND, MSAC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

553 Issued in CT

Practice address

125 Boston Post Rd
Suite #1
Waterford, CT 06385-2841

Phone

(631) 833-0467

Fax

(203) 717-0214

NPI assigned

Nov 17, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ascension Naturopathic Healing Center LLC

  • Clinic/Center
  • Waterford, CT
  • NPI 1366993214
  NPD Authorized official

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1609240449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N STONINGTON RD",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063781514",
            "telephone_number": "631-833-0467",
            "fax_number": "203-717-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BOSTON POST RD",
            "address_2": "SUITE #1",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852841",
            "telephone_number": "631-833-0467",
            "fax_number": "203-717-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAAL",
        "first_name": "KAITLYN",
        "name_prefix": "Dr.",
        "credential": "ND, MSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectrum Physical Therapy Limited Partnership
• Spectrum Physical Therapy Limited Partnership
• Reuben Taylor Spitz, PHD
• Desiree Ann Spooner, PT
• Wendy Lee St George, LPC
• Erin Worgul Stankiewicz, AU.D.
• Meghan Mari Stanley, MS, CNS, CD-N
• Steven M. Rapoport O.D., LLC
• Danielle M Steward-Gelinas, DPT
• Tracey Strelczuk, OTR/L

• Naturopath in Waterford, CT
• Providers in Waterford, CT by specialty
• Naturopath in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.