Organization Active NPI

Spring Tide Natural Health

  • Naturopath
  • San Mateo, CA
National Provider Identifier
1942567615
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND 256 Issued in CA
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Dr. Laura Enfield, ND, LACNPI 1285783308
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.