DR. AVIVA D WERTKIN ND NATUROPATHIC DOCT NPI 1649444951

NPI Information

NPI: 1649444951
Provider Name: DR. AVIVA D WERTKIN, ND NATUROPATHIC DOCT
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2581 PARK LN
LAFAYETTE, CO
ZIP 80026
Phone: (303) 775-3198
Get Directions

DR. Aviva D Wertkin, ND NATUROPATHIC DOCT is a general practice in Lafayette, CO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Aviva D Wertkin, ND NATUROPATHIC DOCT NPI is 1649444951. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2581 PARK LN
LAFAYETTE, CO
ZIP 80026-172
Phone: (303) 775-3198
Fax: (303) 872-4259

The NPI 1649444951 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/17/2008 and was last updated on 4/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	175F00000X	Naturopath	384	CONNECTICUT	No
2	175F00000X	Naturopath	099.0100226	VERMONT	No
3	175F00000X	Naturopath	ND.0000250	COLORADO	No
4	207Q00000X	Family Medicine	099.0100226	VERMONT	No
5	208D00000X	General Practice	NP624	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110000384CT01	OTHER		ANTHEM BLUE CROSS
2	11805577	OTHER		CAQH NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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