NPIMap

Organization Active NPI

Queen Creek Naturopathic PLLC

  • Primary Care Clinic/Center
  • Queen Creek, AZ
National Provider Identifier
1154941763
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
QUEEN CREEK NATUROPATHIC PLLC
Practice address
21820 S Ellsworth Rd # 101
Queen Creek, AZ 85142-9485
Phone
(480) 296-6173
Fax
(480) 677-8310
NPI assigned
Apr 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Kristin Berkner, NDNPI 1831428515
Title
Physican
Phone
(480) 250-1924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

21820 S Ellsworth Rd # 101
Queen Creek, AZ 85142-9485

Mailing address

21820 S Ellsworth Rd Ste 101
Queen Creek, AZ 85142-6177
Phone (480) 296-6173

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1154941763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21820 S ELLSWORTH RD STE 101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426177",
            "telephone_number": "480-296-6173",
            "fax_number": "480-677-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21820 S ELLSWORTH RD # 101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429485",
            "telephone_number": "480-296-6173",
            "fax_number": "480-677-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CREEK NATUROPATHIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "BERKNER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "480-250-1924",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.