Natural Pediatric Medicine, LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

000491 Issued in CT

Legal business name

NATURAL PEDIATRIC MEDICINE, LLC

Practice address

176 Ashley Falls Rd
Canaan, CT 06018-2014

Phone

(860) 453-4090

Fax

(860) 453-4191

NPI assigned

Dec 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Robin Russell, N.D.

Title

Owner

Phone

(860) 453-4090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1689071771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 ASHLEY FALLS RD",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "060182014",
            "telephone_number": "860-453-4090",
            "fax_number": "860-453-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 ASHLEY FALLS RD",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "060182014",
            "telephone_number": "860-453-4090",
            "fax_number": "860-453-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL PEDIATRIC MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-453-4090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Midwood
• Shanthi Mogali, M.D.
• Mountainside Treatment Center
• Chelsi Munning, LADC, LCSW, CASAC-M
• Meliha Muskic, LCSW
• Anthony Joseph Nave Jr., LCSW
• North Canaan Volunteer Ambulance Corp
• Sarah Dorothy Osborne, LPC, LADC, EMDR CERT
• Charles Page, PHARMD
• Tyler Pepin

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

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