Individual provider Active NPI

Stephanie Nichols, ND

  • Naturopath
  • Gilbert, AZ
National Provider Identifier
1174023451
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
19-1766 Issued in AZ
Practice address
1450 W Guadalupe Rd Ste 115
Gilbert, AZ 85233-3055
Phone
(480) 531-2557
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 21-A0001-9 KS
Naturopath 175F00000X 21-00048 KS
Naturopath 175F00000X 19-1766 AZ Primary

Addresses

Primary practice location

1450 W Guadalupe Rd Ste 115
Gilbert, AZ 85233-3055

Mailing address

1450 W Guadalupe Rd Ste 115
Gilbert, AZ 85233-3055
Phone (480) 531-2557

Other practice location 1

4809 W 117th St Ste 106
Leawood, KS 66211-2051
Phone (913) 222-2443

Other names 1

  • Dr. Stephanie Urbanovitch Former name

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
21-A0001-9KSMDAcupuncturist
19-1766AZMDNaturopath
21-00048KSMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1174023451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W GUADALUPE RD STE 115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333055",
            "telephone_number": "480-531-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W GUADALUPE RD STE 115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333055",
            "telephone_number": "480-531-2557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4809 W 117th St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662112051",
            "country_code": "US",
            "telephone_number": "913-222-2443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "KS",
            "license": "21-A0001-9",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "KS",
            "license": "21-00048",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "19-1766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "URBANOVITCH",
            "prefix": "DR.",
            "credential": "ND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 8, 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.