Individual provider Active NPI

Jennifer Amy Gentry-Calvo, NMD

  • Naturopath
  • Anthem, AZ
National Provider Identifier
1023174844
Registry record updated Mar 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
06-916 Issued in AZ
Practice address
42323 N Vision Way
Ste 108
Anthem, AZ 85086-1490
Phone
(623) 551-0027
Fax
(623) 551-1768
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 06-916 AZ Primary

Addresses

Primary practice location

42323 N Vision Way
Ste 108
Anthem, AZ 85086-1490

Mailing address

42323 N Vision Way
Ste 108
Anthem, AZ 85086-1490
Phone (623) 551-0027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06-916AZMDNaturopath

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205539200000",
    "number": "1023174844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42323 N VISION WAY",
            "address_2": "STE 108",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861490",
            "telephone_number": "623-551-0027",
            "fax_number": "623-551-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42323 N VISION WAY",
            "address_2": "STE 108",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861490",
            "telephone_number": "623-551-0027",
            "fax_number": "623-551-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY-CALVO",
        "first_name": "JENNIFER",
        "middle_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "NMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "06-916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.