NPIMap

Organization Active NPI

Katelyn Lieb ND LLC

  • Naturopath
  • Stamford, CT
National Provider Identifier
1770171530
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
KATELYN LIEB ND LLC
Practice address
47 Oak St Ste 290
Stamford, CT 06905-5320
Phone
(203) 703-9033
Fax
(475) 268-1002
NPI assigned
Jan 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Authorized official

Name
Dr. Katelyn J Lieb, NDNPI 1013519719
Title
Owner
Phone
(845) 238-1335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

47 Oak St Ste 290
Stamford, CT 06905-5320

Mailing address

229 Branford Rd Unit 412
North Branford, CT 06471-1316

Other practice location 1

105 West Rd Ste 6
Ellington, CT 06029-5700
Phone (860) 422-4400

Other practice location 2

1921 Boston Post Rd Ste 2&3
Westbrook, CT 06498-2171
Phone (860) 661-5824

Other identifiers 1

IdentifierTypeStateIssuer
1013519719OtherCTOTHER

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Fax
Other URL Fax

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659744000000",
    "number": "1770171530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 BRANFORD RD UNIT 412",
            "city": "NORTH BRANFORD",
            "state": "CT",
            "postal_code": "064711316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 OAK ST STE 290",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055320",
            "telephone_number": "203-703-9033",
            "fax_number": "475-268-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 West Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Ellington",
            "state": "CT",
            "postal_code": "060295700",
            "country_code": "US",
            "telephone_number": "860-422-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1921 Boston Post Rd Ste 2&3",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "CT",
            "postal_code": "064982171",
            "country_code": "US",
            "telephone_number": "860-661-5824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATELYN LIEB ND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A",
        "authorized_official_last_name": "LIEB",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-238-1335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "1013519719",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fax",
            "affiliation": "N",
            "address_1": "1921 Boston Post Rd Ste 2&3",
            "city": "Westbrook",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064982171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fax",
            "affiliation": "N",
            "address_1": "47 Oak St Ste 290",
            "city": "Stamford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "069055320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.