Individual provider Active NPI

Samantha Kunselman, ND

  • Naturopath
  • Phoenix, AZ
National Provider Identifier
1417823253
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
25-4012 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 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 25-4012 AZ Primary

Addresses

Primary practice location

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

Mailing address

242 S Beck Ave Apt 214
Tempe, AZ 85281-2478
Phone (833) 365-1941

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
25-4012AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1417823253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 S BECK AVE APT 214",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812478",
            "telephone_number": "833-365-1941"
        },
        {
            "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": "KUNSELMAN",
        "first_name": "SAMANTHA",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "25-4012",
            "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 Oct 16, 2025; 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.