NPIMap

Organization Active NPI

Vital Ship Naturopathic Family Medicine

Doing business as Vital Ship

  • Naturopath
  • Mesa, AZ
National Provider Identifier
1083092407
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
VITAL SHIP NATUROPATHIC FAMILY MEDICINE
Doing business as
Vital Ship
Practice address
1424 W 7TH St
Mesa, AZ 85201-4618
Phone
(225) 235-7744
NPI assigned
May 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Dr. Leticia Qamar-Busler, NMD
Title
Owner, Manager
Phone
(225) 235-7744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

1424 W 7TH St
Mesa, AZ 85201-4618

Mailing address

1424 W 7TH St
Mesa, AZ 85201-4618
Phone (225) 235-7744

Other names 1

  • Vital Ship Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1083092407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 W 7TH ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852014618",
            "telephone_number": "225-235-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 W 7TH ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852014618",
            "telephone_number": "225-235-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SHIP NATUROPATHIC FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "QAMAR-BUSLER",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "225-235-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NMD"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Ship",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.