Individual provider Active NPI

Lauri Janene Brouwer, ND

  • Naturopath
  • Phoenix, AZ
National Provider Identifier
1386997666
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
12-1341 Issued in AZ
Practice address
4440 N 36TH St Ste 110
Phoenix, AZ 85018-3589
Phone
(480) 588-6856
Fax
(480) 307-6019
NPI assigned
Oct 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 12-1341 AZ Primary

Addresses

Primary practice location

4440 N 36TH St Ste 110
Phoenix, AZ 85018-3589

Mailing address

4440 N 36TH St Ste 110
Phoenix, AZ 85018-3589
Phone (480) 588-6856

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

LicenseStateTypeSpecialty
12-1341AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1386997666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 N 36TH ST STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183589",
            "telephone_number": "480-588-6856",
            "fax_number": "480-307-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 N 36TH ST STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183589",
            "telephone_number": "480-588-6856",
            "fax_number": "480-307-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUWER",
        "first_name": "LAURI",
        "middle_name": "JANENE",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "12-1341",
            "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 Apr 11, 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.

Verify at the official NPI Registry.