Active NPI
Shannon Leah Maltais, NMD
- Naturopath
- Scottsdale, AZ
National Provider Identifier
1275724676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 04805
- Practice address
- 7320 E Deer Valley Rd
Scottsdale, AZ 85255-7453 - Phone
- (480) 513-2888
- Fax
- (480) 513-2999
- NPI assigned
- Aug 9, 2007
- 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 | 04805 | AZ | Primary |
Addresses
Primary practice location
7320 E Deer Valley Rd
Scottsdale, AZ 85255-7453
Mailing address
7320 E Deer Valley Rd
Scottsdale, AZ 85255-7453
Phone (480) 513-2888
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 |
|---|---|---|---|
| 04805 | AZ | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186617600000",
"number": "1275724676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 E DEER VALLEY RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852557453",
"telephone_number": "480-513-2888",
"fax_number": "480-513-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320 E DEER VALLEY RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852557453",
"telephone_number": "480-513-2888",
"fax_number": "480-513-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALTAIS",
"first_name": "SHANNON",
"middle_name": "LEAH",
"name_prefix": "Dr.",
"credential": "NMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2007-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "04805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.