Individual provider Active NPI

Drew Willibrord Mackay-Timmermans, ND

  • Naturopath
  • Gilbert, AZ
National Provider Identifier
1043720212
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
17-1663 Issued in AZ
Practice address
726 N Greenfield Rd Ste 101
Gilbert, AZ 85234-5062
Phone
(480) 508-4226
Fax
(480) 508-4356
NPI assigned
Oct 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 17-1663 AZ Primary

Addresses

Primary practice location

726 N Greenfield Rd Ste 101
Gilbert, AZ 85234-5062

Mailing address

726 N Greenfield Rd Ste 101
Gilbert, AZ 85234-5062
Phone (480) 508-4226

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
17-1663AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1043720212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 N GREENFIELD RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345062",
            "telephone_number": "480-508-4226",
            "fax_number": "480-508-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N GREENFIELD RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345062",
            "telephone_number": "480-508-4226",
            "fax_number": "480-508-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY-TIMMERMANS",
        "first_name": "DREW",
        "middle_name": "WILLIBRORD",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "17-1663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.