NUTMEG NATURAL HEALTH CLINIC, LLC (NPI# 1922333525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922333525 |
| Entity Type | Organization |
| Organization Name | NUTMEG NATURAL HEALTH CLINIC, LLC |
| Practice Address |
4761 Main St Bridgeport CT 06606-1801 |
| Mailing Address |
Po Box 110008 Trumbull CT 06611-0008 |
| Practice Telephone | 2038160326 |
| Practice Fax Number | 2033730509 |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2011-02-17 |
| Authorized Official Name | DR. BENJAMIN DENNERY STRATFORD (OWNER) |
| Authorized Official Telephone | 2038160326 |
| Authorized Official Credential | N.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | Other Service Providers |
| Street Address |
4761 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316127087 | Benjamin D Stratford | Naturopath | 4761 Main St, Bridgeport, CT 06606-1801 | 2007-11-09 |
| 1871938829 | Alice J. Barone | Chiropractor | 4761 Main St, Bridgeport, CT 06606-1801 | 2013-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| 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 |
|---|---|---|---|---|
| 1538663430 | Ryan Attar | Naturopath | 129 Columbia St, Bridgeport, CT 06604 | 2018-03-23 |
| 1275076556 | Lorie Gumbs-tyler | Naturopath | 33 Ridge Ave, Bridgeport, CT 06604-5844 | 2016-11-18 |
| 1427423664 | Yarilis Vazquez | Naturopath | 325 Lafayette St Unit 1002, Bridgeport, CT 06604-5472 | 2015-12-13 |
| 1699011536 | Vanessa Frances Doyle | Naturopath | 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 | 2012-12-21 |
| 1184914350 | Mark Boykin | Naturopath | 115 Brittin Ave, Bridgeport, CT 06605-3419 | 2011-04-08 |
| 1942463302 | Joanna Conte Mcgary | Naturopath | 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 | 2008-07-07 |
| 1346415221 | Jenna Lyn Blasi | Naturopath | 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 | 2008-04-23 |
| 1316127087 | Benjamin D Stratford | Naturopath | 4761 Main St, Bridgeport, CT 06606-1801 | 2007-11-09 |
| 1750505673 | Sherry Lynne Stemper | Naturopath | 2270 Park Ave, Bridgeport, CT 06604-1614 | 2007-04-12 |
| 1487298295 | Samantha Jo Pryor | Naturopath | 60 Lafayette St, Bridgeport, CT 06604-7719 | 2019-11-05 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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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.