Individual provider Active NPI

Darla Lavone Logan

  • Naturopath
  • Scottsdale, AZ
National Provider Identifier
1588092688
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
13-1403 Issued in AZ
Practice address
14300 N Northsight Blvd
#214
Scottsdale, AZ 85260-3672
Phone
(623) 396-6107
NPI assigned
Oct 29, 2013
Last updated
May 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 13-1403 AZ Primary

Addresses

Primary practice location

14300 N Northsight Blvd
#214
Scottsdale, AZ 85260-3672

Mailing address

7950 E Acoma Dr
Ste 207
Scottsdale, AZ 85260-6964
Phone (623) 396-6107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160606000522 AZ Order and Referring Only - General PracticePractitioner - General Practice 8820388796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13-1403AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1588092688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 E ACOMA DR",
            "address_2": "STE 207",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606964",
            "telephone_number": "623-396-6107",
            "fax_number": "480-393-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 N NORTHSIGHT BLVD",
            "address_2": "#214",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603672",
            "telephone_number": "623-396-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "DARLA",
        "middle_name": "LAVONE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "13-1403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.