Individual provider Active NPI

Erica Leigh Waters, N.D.

  • Naturopath
  • Norwalk, CT
National Provider Identifier
1831479302
Registry record updated Aug 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000462 Issued in CT
Practice address
71 East Ave
Suite D
Norwalk, CT 06851-4903
Phone
(347) 331-2808
Fax
(917) 591-5835
NPI assigned
Aug 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 000462 CT Primary

Addresses

Primary practice location

71 East Ave
Suite D
Norwalk, CT 06851-4903

Mailing address

10 Stern Dr
Port Jefferson, NY 11777-1136
Phone (347) 331-2808

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

LicenseStateTypeSpecialty
000462CTMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1314403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314403200000",
    "number": "1831479302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 STERN DR",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771136",
            "telephone_number": "347-331-2808",
            "fax_number": "917-591-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 EAST AVE",
            "address_2": "SUITE D",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514903",
            "telephone_number": "347-331-2808",
            "fax_number": "917-591-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "ERICA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-27",
        "last_updated": "2011-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2011; 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.