Active NPI
Nicole Libbey
- Naturopath
- Gilbert, AZ
National Provider Identifier
1558114520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 24-1854
- Practice address
- 625 N Gilbert Rd Ste 202
Gilbert, AZ 85234-4724 - Phone
- (715) 308-2369
- NPI assigned
- Apr 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 24-1854 | AZ | Primary |
Addresses
Primary practice location
625 N Gilbert Rd Ste 202
Gilbert, AZ 85234-4724
Mailing address
1706 N 17TH Ave
Phoenix, AZ 85007-1604
Phone (715) 308-2369
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 |
|---|---|---|---|
| 24-1854 | AZ | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1558114520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 N 17TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850071604",
"telephone_number": "715-308-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 N GILBERT RD STE 202",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852344724",
"telephone_number": "715-308-2369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBBEY",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-09",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Naturopath",
"state": "AZ",
"license": "24-1854",
"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 Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.