Charmonique Deniseluci Tims, NMD

Primary specialty

NaturopathTaxonomy code 175F00000X

License

091100 Issued in AZ

Practice address

5251 W Campbell Ave Ste 105
Phoenix, AZ 85031-1718

Phone

(480) 560-3876

Fax

(623) 245-3475

NPI assigned

Sep 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1265766463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 W CAMPBELL AVE STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311718",
            "telephone_number": "480-560-3876",
            "fax_number": "623-245-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 W CAMPBELL AVE STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311718",
            "telephone_number": "480-560-3876",
            "fax_number": "623-245-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMS",
        "first_name": "CHARMONIQUE",
        "middle_name": "DENISELUCI",
        "name_prefix": "Dr.",
        "credential": "NMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "091100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy M Smith MD PC
• Timothy S Benner, DC, PC
• Timothy Sapp MD PLLC
• Timothy T. Kuberski, M.D., P.C.
• Vincent Maurice Timpone, MD
• Tashonne Timson, LCSW
• Tina Lee Medical LLC
• Julie L Tindall, PT PHYSICAL THERAPIS
• Diane Ellen Tinker, CNM
• Ryan Tinker

• Naturopath in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Naturopath in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.