Active NPI
Kimberly Wallace Engard, ND, NCCAOM
- Naturopath
- Cave Creek, AZ
National Provider Identifier
1265506265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 04-842
- Practice address
- 6450 E Cave Creek Rd
Suite 106
Cave Creek, AZ 85331-8662 - Phone
- (480) 830-1164
- Fax
- (480) 247-4619
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 04-842 | AZ | Primary |
Addresses
Primary practice location
6450 E Cave Creek Rd
Suite 106
Cave Creek, AZ 85331-8662
Mailing address
6450 E Cave Creek Rd
Suite 106
Cave Creek, AZ 85331-8662
Phone (480) 830-1164
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 |
|---|---|---|---|
| 04-842 | AZ | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1265506265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6450 E CAVE CREEK RD",
"address_2": "SUITE 106",
"city": "CAVE CREEK",
"state": "AZ",
"postal_code": "853318662",
"telephone_number": "480-830-1164",
"fax_number": "480-247-4619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 E CAVE CREEK RD",
"address_2": "SUITE 106",
"city": "CAVE CREEK",
"state": "AZ",
"postal_code": "853318662",
"telephone_number": "480-830-1164",
"fax_number": "480-247-4619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGARD",
"first_name": "KIMBERLY",
"middle_name": "WALLACE",
"name_prefix": "Dr.",
"credential": "ND, NCCAOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "04-842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cave Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.