Active NPI
Kristina Andrea Greengard
- Naturopath
- Phoenix, AZ
National Provider Identifier
1366926685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 18-1723
- Practice address
- 2302 N 3Rd St
Phoenix, AZ 85004-1301 - Phone
- (480) 770-6211
- Fax
- (480) 409-8490
- NPI assigned
- Sep 21, 2018
- 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 | 18-1723 | AZ | Primary |
Addresses
Primary practice location
2302 N 3Rd St
Phoenix, AZ 85004-1301
Mailing address
2106 E Watson Dr
Tempe, AZ 85283-3346
Phone (480) 770-6211
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 |
|---|---|---|---|
| 18-1723 | AZ | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1366926685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 E WATSON DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852833346",
"telephone_number": "480-770-6211",
"fax_number": "480-409-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 N 3RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041301",
"telephone_number": "480-770-6211",
"fax_number": "480-409-8490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENGARD",
"first_name": "KRISTINA",
"middle_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-21",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "18-1723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.