Individual provider Active NPI

Kaylee Denae Williamson, N.M.D

  • Naturopath
  • Tempe, AZ
National Provider Identifier
1407259336
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
14-1458 Issued in AZ
Practice address
3231 S Country Club Way
Suite 106
Tempe, AZ 85282-4053
Phone
(480) 820-5026
Fax
(520) 333-3206
NPI assigned
Oct 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 14-1458 AZ Primary

Addresses

Primary practice location

3231 S Country Club Way
Suite 106
Tempe, AZ 85282-4053

Mailing address

3231 S Country Club Way Ste 106
Tempe, AZ 85282-4053
Phone (480) 820-5026

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
14-1458AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1407259336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 S COUNTRY CLUB WAY STE 106",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824053",
            "telephone_number": "480-820-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 S COUNTRY CLUB WAY",
            "address_2": "SUITE 106",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824053",
            "telephone_number": "480-820-5026",
            "fax_number": "520-333-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "KAYLEE",
        "middle_name": "DENAE",
        "name_prefix": "Dr.",
        "credential": "N.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "14-1458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.