Aviva D Wertkin, ND NATUROPATHIC DOCT

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

NP624 Issued in ME

Practice address

2581 Park LN
Lafayette, CO 80026-3172

Phone

(303) 775-3198

Fax

(303) 872-4259

NPI assigned

Apr 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1649444951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 PARK LN",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263172",
            "telephone_number": "203-640-7319",
            "fax_number": "303-872-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 PARK LN",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263172",
            "telephone_number": "303-775-3198",
            "fax_number": "303-872-4259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "194 Danforth St Apt 3",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023870",
            "country_code": "US",
            "telephone_number": "303-775-3198",
            "fax_number": "303-872-4259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1921 Boston Post Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "CT",
            "postal_code": "064982171",
            "country_code": "US",
            "telephone_number": "303-775-3198",
            "fax_number": "303-872-4259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERTKIN",
        "first_name": "AVIVA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "ND NATUROPATHIC DOCT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "384",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0100226",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CO",
            "license": "ND.0000250",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "099.0100226",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ME",
            "license": "NP624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "110000384CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "11805577",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Wennen, LCSW
• Kelly Rene' Wenzel, MBA, SPHR
• Alyssa L Wermers, LCSW
• Mackenzie K Werner
• Monica Suzonne Wernick, M.D.
• Thomas J Wescom, M.D.
• Gordon Harvey West, DDS
• Rebecca West
• Jessie Westbrook, RBT
• Western Nephrology & Metabolic Bone Disease, P.C.

• General Practice Physician in Lafayette, CO
• Providers in Lafayette, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.