Individual provider Active NPI

Kimberly Wallace Engard, ND, NCCAOM

  • Naturopath
  • Cave Creek, AZ
National Provider Identifier
1265506265
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
04-842 Issued in AZ
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

Updated by the provider on Jul 30, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
04-842AZMDNaturopath

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.

Verify at the official NPI Registry.