Kelsey Lynn Barraza, ND
Individual provider Active NPI Naturopath · Gilbert, AZ
NPI 1043090905 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1043090905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 23-1808 (AZ)
- Practice address
- 3150 E Ray Rd Apt 529
Gilbert, AZ 85296-1227 - Phone
- (919) 518-7115
- Fax
- (888) 802-1404
- NPI assigned
- Sep 28, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23-1808 | AZ | MD | Naturopath |
| 231808 | AZ | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 23-1808 | AZ | Yes |
| Naturopath | 175F00000X | 231808 | AZ |
Addresses
Primary practice location
3150 E Ray Rd Apt 529
Gilbert, AZ 85296-1227
Mailing address
3150 E Ray Rd Apt 529
Gilbert, AZ 85296-1227
Phone (919) 518-7115
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.