Individual provider Active NPI

Melissa Gibbons, ND, MSM

  • Naturopath
  • Gilbert, AZ
National Provider Identifier
1578012522
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
16-1597 Issued in AZ
Practice address
875 N Greenfield Rd Ste 101
Gilbert, AZ 85234-5044
Phone
(480) 664-7463
Fax
(480) 664-7467
NPI assigned
Sep 30, 2016
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 16-1597 AZ Primary
Naturopath 175F00000X NT60681837 WA

Addresses

Primary practice location

875 N Greenfield Rd Ste 101
Gilbert, AZ 85234-5044

Mailing address

875 N Greenfield Rd Ste 101
Gilbert, AZ 85234-5044
Phone (480) 664-7463

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
16-1597AZMDNaturopath
NT60681837WAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1578012522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 N GREENFIELD RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345044",
            "telephone_number": "480-664-7463",
            "fax_number": "480-664-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N GREENFIELD RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345044",
            "telephone_number": "480-664-7463",
            "fax_number": "480-664-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "ND, MSM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "16-1597",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60681837",
            "primary": false
        }
    ],
    "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 Sep 6, 2022; 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.