Active NPI
Randy J Spicer, NMD
- Naturopath
- Prescott, AZ
National Provider Identifier
1366628869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 08-1043
- Practice address
- 343 S Montezuma St
Suite C-D
Prescott, AZ 86303-4221 - Phone
- (928) 445-2900
- Fax
- (928) 445-2053
- NPI assigned
- Jan 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 08-1043 | AZ | Primary |
Addresses
Primary practice location
343 S Montezuma St
Suite C-D
Prescott, AZ 86303-4221
Mailing address
343 S Montezuma St
Suite C-D
Prescott, AZ 86303-4221
Phone (928) 445-2900
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 |
|---|---|---|---|
| 08-1043 | AZ | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1366628869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 S MONTEZUMA ST",
"address_2": "SUITE C-D",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863034221",
"telephone_number": "928-445-2900",
"fax_number": "928-445-2053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 S MONTEZUMA ST",
"address_2": "SUITE C-D",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863034221",
"telephone_number": "928-445-2900",
"fax_number": "928-445-2053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPICER",
"first_name": "RANDY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "NMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-14",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "08-1043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.