Individual provider Active NPI

Keely Puchalski, ND

  • Naturopath
  • Gilbert, AZ
National Provider Identifier
1538838172
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
21-1951 Issued in AZ
Practice address
1489 W Elliot Rd Ste 103
Gilbert, AZ 85233-5168
Phone
(480) 256-2999
Fax
(480) 520-4050
NPI assigned
Sep 8, 2021
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 21-1951 AZ Primary

Addresses

Primary practice location

1489 W Elliot Rd Ste 103
Gilbert, AZ 85233-5168

Mailing address

1489 W Elliot Rd Ste 103
Gilbert, AZ 85233-5168
Phone (480) 256-2999

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
21-1951AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1538838172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 W ELLIOT RD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335168",
            "telephone_number": "480-256-2999",
            "fax_number": "480-520-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 W ELLIOT RD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335168",
            "telephone_number": "480-256-2999",
            "fax_number": "480-520-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCHALSKI",
        "first_name": "KEELY",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "21-1951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.