KILTAYA NATURAL MEDICINE, INC. (NPI# 1558716977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558716977 |
| Entity Type | Organization |
| Organization Name | KILTAYA NATURAL MEDICINE, INC. |
| Practice Address |
4 John Tyler St Ste E Merrimack NH 03054-4800 |
| Mailing Address |
379 Amherst St. Pmb 130 Nashua NH 03063 |
| Practice Telephone | 9782263787 |
| Practice Fax Number | 4805820441 |
| Mailing Telephone | 9782263787 |
| Mailing Fax Number | 4805820441 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DAVID ANTAYA (VICE PRESIDENT) |
| Authorized Official Telephone | 9782263787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 175F00000X | Naturopath | 15-1511 | AZ | Other Service Providers |
| Y | 175F00000X | Naturopath | 132 | NH | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15953 N Greenway Hayden Loop, Suite A, Scottsdale, AZ 852601765 | 4807190620 |
| Street Address |
4 JOHN TYLER ST STE E |
| City | MERRIMACK |
| State | NH |
| Zip Code | 03054-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669517066 | Carlos Anthony Perez | Chiropractor | 4 John Tyler St Ste E, Merrimack, NH 03054-4800 | 2007-02-21 |
| 1295106730 | David Antaya | Massage Therapist | 4 John Tyler St Ste E, Merrimack, NH 03054 | 2015-10-09 |
| 1891099735 | Back In Motion, Pllc | Chiropractor | 4 John Tyler St Ste E, Merrimack, NH 03054-4800 | 2011-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461395 | Erin Lee Fontaine | Occupational Therapy Assistant | Reeds Ferry Elementary School, 15 Lyons Road, Merrimack, NH 03054 | 2020-09-09 |
| 1912201625 | Stacey Ann Romano | Occupational Therapist | 6 Conservation Dr, Merrimack, NH 03054 | 2011-01-10 |
| 1497073621 | Elizabeth C Valenti | Pharmacist | 49 Marty Drive, Merrimack, NH 03054 | 2010-05-12 |
| 1659537728 | Dubay, Wasserman, Conway, Md, Pa | Obstetrics & Gynecology | 30 Daniel Webster Highway, Suite 11, Merrimack, NH 03054 | 2008-07-29 |
| 1841457546 | Hudson Endodontics, P.C. | Dentist | 182 Central Street, Hudson, NH 03054 | 2008-05-20 |
| 1760500334 | Mark S. Morris, Dds, Pllc | Dentist | 22 Greeley Street, Suite 11, Merrimack, NH 03054 | 2007-03-26 |
| 1902918626 | Joseph A Cardamone | Dentist | Route 101a Pennichuck Square, 707 Milford Rd #27, Merrimack, NH 03054 | 2006-08-31 |
| 1033127931 | Jeffrey Alan Glauber | Dentist | 33 Bedford Road, Merrimack, NH 03054 | 2006-08-04 |
| 1760423529 | Amanda Thomas, LLC | Durable Medical Equipment & Medical Supplies | 30 Daniel Webster Hwy, Ste 1, Merrimack, NH 03054 | 2006-06-10 |
| 1306884325 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 7 Continental Blvd, Merrimack, NH 03054 | 2006-06-02 |
| Find all providers in zip 03054 | ||||
| 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 |
|---|---|---|---|---|
| 1427691799 | Korene J Mosher | Naturopath | 155 Borthwick Ave # 102, Portsmouth, NH 03801-7156 | 2019-10-19 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1295260446 | Miranda Rose Labant | Naturopath | 861 Lafayette Rd Ste 3, Hampton, NH 03842-1232 | 2017-04-25 |
| 1548795131 | Deborah Bonfanti | Naturopath | 31 Old Nashua Rd Ste 14, Amherst, NH 03031-2829 | 2017-04-21 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| 1013385087 | Tanya Lawson | Naturopath | 72 S River Rd Ste 102, Bedford, NH 03110-6759 | 2015-09-09 |
| 1003213943 | Jacob Aguiar | Naturopath | 875 Greenland Rd Unit A1, Portsmouth, NH 03801-4161 | 2014-11-20 |
| 1295138220 | Madalyn Otto | Naturopath | 91 N State St Ste 102, Concord, NH 03301-4300 | 2014-10-05 |
| 1437552429 | Edward Ellis Jr. | Naturopath | 174 Concord St Ste 250, Peterborough, NH 03458-1222 | 2014-10-03 |
| Find all providers with the same taxonomy | ||||
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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.