Individual provider Active NPI

Kevyn Carothers, ND, LAC

  • Naturopath
  • Scottsdale, AZ
National Provider Identifier
1033961925
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
24-1841 Issued in AZ
Practice address
13610 N Scottsdale Rd Ste 11
Scottsdale, AZ 85254-4053
Phone
(303) 250-3883
NPI assigned
Apr 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X LAC-012173 AZ
Naturopath 175F00000X ND.0000274 CO
Naturopath 175F00000X 24-1841 AZ Primary

Addresses

Primary practice location

13610 N Scottsdale Rd Ste 11
Scottsdale, AZ 85254-4053

Mailing address

6533 E Phelps Rd
Scottsdale, AZ 85254-1455
Phone (303) 250-3883

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
LAC-012173AZMDAcupuncturist
24-1841AZMDNaturopath
ND.0000274COMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1033961925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6533 E PHELPS RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541455",
            "telephone_number": "303-250-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13610 N SCOTTSDALE RD STE 11",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544053",
            "telephone_number": "303-250-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROTHERS",
        "first_name": "KEVYN",
        "credential": "ND, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-012173",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CO",
            "license": "ND.0000274",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "24-1841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.