Kimberlee Marie Blyden-Taylor, ND
Individual provider Active NPI Naturopath · Tempe, AZ
NPI 1265102446 · NPPES record last updated Sep 17, 2021
Key facts
- NPI
- 1265102446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 21-1660 (AZ)
- Practice address
- 2140 E Broadway Rd
Tempe, AZ 85282-1751 - Phone
- (480) 970-0000
- NPI assigned
- Sep 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 21-1660 | AZ | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 21-1660 | AZ | Yes |
Addresses
Primary practice location
2140 E Broadway Rd
Tempe, AZ 85282-1751
Mailing address
2140 E Broadway Rd
Tempe, AZ 85282-1751
Phone (480) 970-0000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21-1660 | Other | AZ | STATE OF ARIZONA NATUROPATHIC PHYSICIANS MEDICAL BOARD |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Tempe |
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2021. 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.