Active NPI
Mia Helena, ND
- Naturopath
- Coeur D Alene, ID
National Provider Identifier
1720545965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NMD-0006
- Practice address
- 1717 Lincoln Way Ste 102
Coeur D Alene, ID 83814-2556 - Phone
- (208) 651-4217
- NPI assigned
- Feb 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT60906596 | WA | |
| Naturopath | 175F00000X | NMD-0006 | ID | Primary |
Addresses
Primary practice location
1717 Lincoln Way Ste 102
Coeur D Alene, ID 83814-2556
Mailing address
11074 W Riverview Dr
Post Falls, ID 83854-5717
Phone (208) 651-4217
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
| License | State | Type | Specialty |
|---|---|---|---|
| NMD-0006 | ID | MD | Naturopath |
| NT60906596 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1720545965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11074 W RIVERVIEW DR",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838545717",
"telephone_number": "208-651-4217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 LINCOLN WAY STE 102",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142556",
"telephone_number": "208-651-4217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELENA",
"first_name": "MIA",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-25",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT60906596",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "ID",
"license": "NMD-0006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.