Active NPI
Jennifer Conover Nevels, N.D.
- Naturopath
- Mesa, AZ
National Provider Identifier
1114075355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 03760
- Practice address
- 5416 E Southern Ave # 109
Mesa, AZ 85206-3622 - Phone
- (480) 985-0000
- Fax
- (480) 985-0029
- NPI assigned
- Jan 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 03760 | AZ | Primary |
Addresses
Primary practice location
5416 E Southern Ave # 109
Mesa, AZ 85206-3622
Mailing address
2039 E Gemini Dr
Tempe, AZ 85283-3317
Phone (480) 227-9669
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 |
|---|---|---|---|
| 03760 | AZ | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114075355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2039 E GEMINI DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852833317",
"telephone_number": "480-227-9669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5416 E SOUTHERN AVE # 109",
"city": "MESA",
"state": "AZ",
"postal_code": "852063622",
"telephone_number": "480-985-0000",
"fax_number": "480-985-0029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVELS",
"first_name": "JENNIFER",
"middle_name": "CONOVER",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "03760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.