Individual provider Active NPI

Heather Lyn Wojslaw, NMD

  • Naturopath
  • Scottsdale, AZ
National Provider Identifier
1639432271
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
12-1314 Issued in AZ
Practice address
7629 E Pinnacle Peak Rd
Ste 114
Scottsdale, AZ 85255-6290
Phone
(480) 502-9487
Fax
(855) 313-5053
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 12-1314 AZ Primary

Addresses

Primary practice location

7629 E Pinnacle Peak Rd
Ste 114
Scottsdale, AZ 85255-6290

Mailing address

7558 W Thunderbird Rd Ste 1-460
Peoria, AZ 85381-6080
Phone (480) 502-9487

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@azintegratedmedicine.com Direct AZ Integrated Medicine

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
12-1314AZMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Az Integrated Medicine CurrentSince Jun 6, 2021 Accepting new patients

Locations

17431 N 71st Dr
Ste 102
Glendale, AZ 85308
Phone (480) 502-9487

7558 W Thunderbird Rd
Ste 1460
Peoria, AZ 85381

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1639432271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7558 W THUNDERBIRD RD STE 1-460",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816080",
            "telephone_number": "480-502-9487",
            "fax_number": "855-313-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 E PINNACLE PEAK RD",
            "address_2": "STE 114",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556290",
            "telephone_number": "480-502-9487",
            "fax_number": "855-313-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJSLAW",
        "first_name": "HEATHER",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "NMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "12-1314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@azintegratedmedicine.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "AZ Integrated Medicine",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail",
            "address_1": "17431 N 71st Dr Ste 102",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853088598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 3, 2021; 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.