Active NPI
Jennifer Amy Gentry-Calvo, NMD
- Naturopath
- Anthem, AZ
National Provider Identifier
1023174844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 06-916
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 06-916 | AZ | MD | Naturopath |
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.