Iris Integrative Medicine

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

IRIS INTEGRATIVE MEDICINE

Practice address

884 Broadway Ste 13
South Portland, ME 04106-4371

Phone

(207) 613-4128

Fax

(855) 955-3928

NPI assigned

Dec 18, 2023

Last updated

Dec 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mikaela Arredondo, NDNPI 1679108344

Title

Doctor/Owner

Phone

(207) 613-4128

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mikaela Arredondo, ND

  • Naturopath
  • South Portland, ME
  • NPI 1679108344
  NPD Authorized official

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1396513495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 BROADWAY STE 13",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064371",
            "telephone_number": "207-613-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 BROADWAY STE 13",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064371",
            "telephone_number": "207-613-4128",
            "fax_number": "855-955-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "ARREDONDO",
        "authorized_official_first_name": "MIKAELA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "207-613-4128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intermed, PA
• Intermed, PA
• Intermed, PA
• Intermed, PA
• Intermed, PA
• Bayleigh Isherwood
• Allison Israel, PA
• Matthew Jacobsen, DMD, MD
• Alice Kelley Jacobson, PA-C
• Michael Jaeger

• Naturopath in South Portland, ME
• Providers in South Portland, ME by specialty
• Naturopath in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.