DR. NICHOLAS EDGERTON (NPI# 1578013074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578013074 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS EDGERTON |
| Credential | N.D. |
| Practice Address |
315 E Center St Manchester CT 06040-5251 |
| Mailing Address |
163 Stillwell Dr Plainville CT 06062-2951 |
| Practice Telephone | 8605330179 |
| Practice Fax Number | 8602882611 |
| Mailing Telephone | 8606207179 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 579 | CT | Other Service Providers |
| Street Address |
315 E CENTER ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-5251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477577534 | Henry Rosenberg | Dentist | 315 E Center St, Manchester, CT 06040-5211 | 2006-07-26 |
| 1649817602 | Mary Elizabeth Tracey | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2019-12-09 |
| 1598307605 | Amanda Helton Gomes | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2019-10-09 |
| 1356814628 | Carolina Padilla | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2019-01-09 |
| 1447740667 | Carissa Fioritto | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2018-05-14 |
| 1801312301 | Vitali Wellness, LLC | Family Medicine | 315 E Center St, Manchester, CT 06040-5251 | 2017-08-16 |
| 1164944898 | Everwell Integrated Medicine, LLC | Family Medicine | 315 E Center St, Manchester, CT 06040-5251 | 2017-07-14 |
| 1396267126 | Collaborative Natural Health Partners, LLC | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2017-07-13 |
| 1174045223 | Athena Osteopathy, LLC | Family Medicine | 315 E Center St, Manchester, CT 06040-5251 | 2017-07-11 |
| 1033660675 | Diana Zitserman | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2016-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639330335 | Lauren Jean Young | Naturopath | 315 East Center St, Manchester, CT 06040 | 2008-06-24 |
| 1467572180 | Shirley S Snow | Naturopath | 755 Straw Hill, Manchester, NH 03104-1681 | 2007-03-29 |
| 1649817602 | Mary Elizabeth Tracey | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2019-12-09 |
| 1598307605 | Amanda Helton Gomes | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2019-10-09 |
| 1356814628 | Carolina Padilla | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2019-01-09 |
| 1447740667 | Carissa Fioritto | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2018-05-14 |
| 1396267126 | Collaborative Natural Health Partners, LLC | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2017-07-13 |
| 1033660675 | Diana Zitserman | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2016-10-19 |
| 1033516869 | Tonya Pasternak | Naturopath | 315 E Center St, Manchester, CT 06040-5251 | 2014-11-21 |
| 1992046858 | Lindsay Michelle Dehaas | Naturopath | 53 Bay St, Manchester, NH 03104-3005 | 2013-03-01 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.