Active NPI
Naomi Konkel
- Child Mental Illness Respite Care
- Williams, AZ
National Provider Identifier
1154739654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Mental Illness Respite Care
- License
- 5945516
- Practice address
- 818 Quarter Horse Rd
Williams, AZ 86046-9643 - Phone
- (928) 380-4360
- NPI assigned
- Jul 28, 2014
- Last updated
- Jul 28, 2014
- 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 |
|---|---|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | 5945516 | AZ | Primary |
Addresses
Primary practice location
818 Quarter Horse Rd
Williams, AZ 86046-9643
Mailing address
818 Quarter Horse Rd
Williams, AZ 86046-9643
Phone (928) 380-4360
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 |
|---|---|---|---|
| 5945516 | AZ | MD | Child Mental Illness Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1154739654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 QUARTER HORSE RD",
"city": "WILLIAMS",
"state": "AZ",
"postal_code": "860469643",
"telephone_number": "928-380-4360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 QUARTER HORSE RD",
"city": "WILLIAMS",
"state": "AZ",
"postal_code": "860469643",
"telephone_number": "928-380-4360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONKEL",
"first_name": "NAOMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "AZ",
"license": "5945516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williams, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.