Active NPI
Elisabeth Kearney, N.D.
- Naturopath
- Flagstaff, AZ
National Provider Identifier
1235520123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 18-1700
- Practice address
- 318 W Birch Ave Ste 5
Flagstaff, AZ 86001-4407 - Phone
- (575) 322-2453
- NPI assigned
- Feb 12, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 099.0108679 | VT | |
| Naturopath | 175F00000X | 18-1700 | AZ | Primary |
Addresses
Primary practice location
318 W Birch Ave Ste 5
Flagstaff, AZ 86001-4407
Mailing address
318 W Birch Ave Ste 5
Flagstaff, AZ 86001-4407
Phone (575) 322-2453
Other practice location 1
604 E Cherry Ln
Carlsbad, NM 88220-9284
Phone (575) 322-2453
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 |
|---|---|---|---|
| 18-1700 | AZ | MD | Naturopath |
| 099.0108679 | VT | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565395200000",
"number": "1235520123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 W BIRCH AVE STE 5",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860014407",
"telephone_number": "575-322-2453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 W BIRCH AVE STE 5",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860014407",
"telephone_number": "575-322-2453"
}
],
"practiceLocations": [
{
"address_1": "604 E Cherry Ln",
"address_purpose": "LOCATION",
"city": "Carlsbad",
"state": "NM",
"postal_code": "882209284",
"country_code": "US",
"telephone_number": "575-322-2453",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEARNEY",
"first_name": "ELISABETH",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-12",
"last_updated": "2019-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "VT",
"license": "099.0108679",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "18-1700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.