Active NPI
Tinkerbelle Dougherty
- Health & Wellness Coach
- Scottsdale, AZ
National Provider Identifier
1285596189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- ICGCI1491
- Practice address
- 7740 E Glenrosa Ave Apt 228
Scottsdale, AZ 85251-4048 - Phone
- (602) 935-5986
- NPI assigned
- Nov 29, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAAC-08047T | AZ | |
| Health & Wellness Coach | 171400000X | ICGCI1491 | AZ | Primary |
Addresses
Primary practice location
7740 E Glenrosa Ave Apt 228
Scottsdale, AZ 85251-4048
Mailing address
7740 E Glenrosa Ave Apt 228
Scottsdale, AZ 85251-4048
Phone (602) 935-5986
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 |
|---|---|---|---|
| LAAC-08047T | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| ICGCI1491 | AZ | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764374400000",
"number": "1285596189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7740 E GLENROSA AVE APT 228",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852514048",
"telephone_number": "602-935-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7740 E GLENROSA AVE APT 228",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852514048",
"telephone_number": "602-935-5986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "TINKERBELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-29",
"last_updated": "2025-11-29",
"certification_date": "2025-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LAAC-08047T",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "AZ",
"license": "ICGCI1491",
"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 Nov 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.