Active NPI
Krystine Totram Nguyen, N.M.D., M.P.H, R.D.
- Naturopath
- Scottsdale, AZ
National Provider Identifier
1447479597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 12-1348
- Practice address
- 8841 E Bell Rd
Scottsdale, AZ 85260-1591 - Phone
- (480) 240-2600
- NPI assigned
- Apr 25, 2007
- Last updated
- Nov 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 943685 | CA | |
| Naturopath | 175F00000X | 12-1348 | AZ | Primary |
| Naturopath | 175F00000X | ND-557 | CA |
Addresses
Primary practice location
8841 E Bell Rd
Scottsdale, AZ 85260-1591
Mailing address
2134 E Broadway Rd
Unit 2016
Tempe, AZ 85282-1773
Phone (818) 970-9608
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 943685 | Other | CA | CDR |
| ND-557 | Other | CA | NATUROPATHIC MEDICINE COMMITTEE |
| 12-1348 | Other | AZ | NATUROPATHIC PHYSICIANS MEDICAL GROUP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 943685 | CA | MD | Registered Dietitian |
| 12-1348 | AZ | MD | Naturopath |
| ND-557 | CA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1447479597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2134 E BROADWAY RD",
"address_2": "UNIT 2016",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821773",
"telephone_number": "818-970-9608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8841 E BELL RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601591",
"telephone_number": "480-240-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KRYSTINE",
"middle_name": "TOTRAM",
"name_prefix": "Dr.",
"credential": "N.M.D., M.P.H, R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "943685",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "12-1348",
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND-557",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR",
"identifier": "943685",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATUROPATHIC MEDICINE COMMITTEE",
"identifier": "ND-557",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATUROPATHIC PHYSICIANS MEDICAL GROUP",
"identifier": "12-1348",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.