SPRING TIDE NATURAL HEALTH (NPI# 1942567615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942567615 |
| Entity Type | Organization |
| Organization Name | SPRING TIDE NATURAL HEALTH |
| Practice Address |
205 E 3rd Ave Suite 206 San Mateo CA 94401-4051 |
| Practice Telephone | 6507777966 |
| Mailing Telephone | 6507777966 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |
| Authorized Official Name | DR. LAURA ENFIELD (OWNER) |
| Authorized Official Telephone | 6507777966 |
| Authorized Official Credential | ND, LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | AC 12565 | CA | Other Service Providers |
| Y | 175F00000X | Naturopath | ND 256 | CA | Other Service Providers |
| Street Address |
205 E 3RD AVE SUITE 206 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760592901 | Krysta A Banazek | Marriage & Family Therapist | 205 E 3rd Ave, Suite 207a, San Mateo, CA 94401-4051 | 2006-08-30 |
| 1609266402 | Michelle Busch Potter | Marriage & Family Therapist | 205 E 3rd Ave, Suite 307c, San Mateo, CA 94401-4051 | 2015-01-31 |
| 1982954061 | Kimberly Dawn Rich | Marriage & Family Therapist | 205 E 3rd Ave, Suite 303, San Mateo, CA 94401-4051 | 2012-09-14 |
| 1144549916 | Lisa Lavaysse | Psychologist | 205 E 3rd Ave, Mezzanine 1-a, San Mateo, CA 94401-4051 | 2010-05-19 |
| 1013150176 | Eva K Pang | Psychologist | 205 E 3rd Ave, San Mateo, CA 94401-4051 | 2009-04-19 |
| 1427290576 | Mark Sapaen Watan | Acupuncturist | 205 E 3rd Ave, Suite 410, San Mateo, CA 94401-4051 | 2009-04-02 |
| 1295982254 | Terri Lyn Zucker | Psychologist | 205 E 3rd Ave, Ste 208, San Mateo, CA 94401-4051 | 2008-08-21 |
| 1609041185 | Richard Stewart Cameron | Counselor | 205 E 3rd Ave, Suite 203, San Mateo, CA 94401-4051 | 2008-04-25 |
| 1629279757 | Marilyn Mellott Bacigalupi | Marriage & Family Therapist | 205 E 3rd Ave, 315, San Mateo, CA 94401-4051 | 2007-05-29 |
| 1396957353 | Joan C Haller | Social Worker | 205 E 3rd Ave, San Mateo, CA 94401-4051 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| 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 |
|---|---|---|---|---|
| 1053912337 | Kieu Mindy Nguyen | Naturopath | 491 41st St Unit 8, Oakland, CA 94609-2695 | 2020-11-04 |
| 1780285809 | Kimberley Love | Naturopath | 1757 Countryside Dr, Vista, CA 92081-8727 | 2020-11-04 |
| 1942808076 | Ashley Dumont | Naturopath | Zen Dermatology, 4801 J St, Sacramento, CA 95819 | 2020-10-12 |
| 1376140665 | Jasmine Haddad | Naturopath | 502 First St Ste A, Paso Robles, CA 93446-3764 | 2020-10-08 |
| 1295332948 | Elaine Louise Marquez Mchugh | Naturopath | 4874 Meadowbrook Dr, Oceanside, CA 92056-6637 | 2020-10-06 |
| 1629675459 | Christopher Chang | Naturopath | 623 W Duarte Rd Ste A, Arcadia, CA 91007-7337 | 2020-10-05 |
| 1427655463 | Paria Vaziri | Naturopath | 1559 1/2 Reed Ave, San Diego, CA 92109-5361 | 2020-10-02 |
| 1598362527 | Wafaa George Matti | Naturopath | 2696 Pine Glen Ct, El Cajon, CA 92019-3913 | 2020-10-02 |
| 1356948376 | Barbara Ivos | Naturopath | 6202 Friars Rd Unit 304, San Diego, CA 92108-1008 | 2020-10-02 |
| 1649877846 | Brian James Trainor | Naturopath | 3636 5th Ave Ste 300, San Diego, CA 92103-4230 | 2020-10-01 |
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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.