Individual provider Active NPI

Vanessa Jane Fontanilla Ruiz, ND, RN

  • Naturopath
  • Scottsdale, AZ
National Provider Identifier
1194274639
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
16-1567 Issued in AZ
Practice address
11000 N Scottsdale Rd Ste 230
Scottsdale, AZ 85254-5389
Phone
(347) 470-9766
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN180449 AZ
Naturopath 175F00000X 16-1567 AZ Primary

Addresses

Primary practice location

11000 N Scottsdale Rd Ste 230
Scottsdale, AZ 85254-5389

Mailing address

11000 N Scottsdale Rd Ste 230
Scottsdale, AZ 85254-5389
Phone (347) 470-9766

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN180449AZMDRegistered Nurse
16-1567AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1194274639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD STE 230",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545389",
            "telephone_number": "347-470-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD STE 230",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545389",
            "telephone_number": "347-470-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "VANESSA JANE",
        "middle_name": "FONTANILLA",
        "name_prefix": "Dr.",
        "credential": "ND, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN180449",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "16-1567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.