Active NPI
Spring Tide Natural Health
- Naturopath
- San Mateo, CA
National Provider Identifier
1942567615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND 256
- Legal business name
- SPRING TIDE NATURAL HEALTH
- Practice address
- 205 E 3Rd Ave
Suite 206
San Mateo, CA 94401-4051 - Phone
- (650) 777-7966
- NPI assigned
- Apr 18, 2012
- Last updated
- Apr 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura Enfield, ND, LAC
- Title
- Owner
- Phone
- (650) 777-7966
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 12565 | CA | |
| Naturopath | 175F00000X | ND 256 | CA | Primary |
Addresses
Primary practice location
205 E 3Rd Ave
Suite 206
San Mateo, CA 94401-4051
Mailing address
205 E 3Rd Ave
Suite 206
San Mateo, CA 94401-4051
Phone (650) 777-7966
National Provider Directory
National Provider DirectoryLocations
205 E 3rd Ave
Ste 206
San Mateo, CA 94401
Phone (650) 777-7966
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334707200000",
"number": "1942567615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E 3RD AVE",
"address_2": "SUITE 206",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944014051",
"telephone_number": "650-777-7966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E 3RD AVE",
"address_2": "SUITE 206",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944014051",
"telephone_number": "650-777-7966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRING TIDE NATURAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-18",
"last_updated": "2012-04-18",
"status": "A",
"authorized_official_last_name": "ENFIELD",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "650-777-7966",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ND, LAC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 12565",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND 256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.