Active NPI
Olivia Raveen Watkins, ND
- Naturopath
- Phoenix, AZ
National Provider Identifier
1245894245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 191793
- Practice address
- 346 E Alvarado Rd
Phoenix, AZ 85004-1405 - Phone
- (602) 888-4405
- Fax
- (706) 310-8389
- NPI assigned
- Apr 24, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 191793 | AZ | Primary |
Addresses
Primary practice location
346 E Alvarado Rd
Phoenix, AZ 85004-1405
Mailing address
156 Nora Moss LN
Carnesville, GA 30521-4011
Phone (602) 888-4405
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 |
|---|---|---|---|
| 191793 | AZ | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1245894245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 NORA MOSS LN",
"city": "CARNESVILLE",
"state": "GA",
"postal_code": "305214011",
"telephone_number": "602-888-4405",
"fax_number": "706-310-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 E ALVARADO RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041405",
"telephone_number": "602-888-4405",
"fax_number": "706-310-8389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "OLIVIA",
"middle_name": "RAVEEN",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-24",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "191793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.