Krystal Nicole Tellier, N.D., C.P.M.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

09-1110 Issued in AZ

Practice address

16601 N 40TH St
Suite 115
Phoenix, AZ 85032-3345

Phone

(602) 368-9211

Fax

(602) 368-9212

NPI assigned

Apr 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: krystal.tellier@13103960817668.direct.elationemr.com

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1427291293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST",
            "address_2": "SUITE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323345",
            "telephone_number": "602-368-9211",
            "fax_number": "602-368-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST",
            "address_2": "SUITE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323345",
            "telephone_number": "602-368-9211",
            "fax_number": "602-368-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLIER",
        "first_name": "KRYSTAL",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "N.D., C.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "09-1110",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AZ",
            "license": "10090030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aime Abigail Tellez, PHARMD
• Colleen Tellez, BCBA, LBA
• David W Tellez, MD
• Genevieve Tellez
• Taylor Marie Tellez, PHARMD
• America Tello Legarreta, RBT
• Tellurian Behavioral Health Services, LLC (Alpha Recovery Home)
• Tellurian Health Services, LLC (Bravo Recovery Home)
• Davis McLain Temple, M.A., BCBA
• Jovita Temple

• Naturopath in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Naturopath in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.