Kristen L Bishop, NMD
Individual provider Active NPI Naturopath · Mesa, AZ
NPI 1215212220 · NPPES record last updated Oct 28, 2013
Key facts
- NPI
- 1215212220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 11-1266 (AZ)
- Practice address
- 10153 East Hampton
Suite 104
Mesa, AZ 85209 - Phone
- (480) 268-0491
- NPI assigned
- Oct 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-1266 | AZ | MD | Naturopath |
| 099.0081587 | VT | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Natural Family Medicine | Naturopath | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 099.0081587 | VT | |
| Naturopath | 175F00000X | 11-1266 | AZ | Yes |
Addresses
Primary practice location
10153 East Hampton
Suite 104
Mesa, AZ 85209
Mailing address
10153 East Hampton
Suite 104
Mesa, AZ 85209
Phone (480) 535-5688
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.