Individual provider Active NPI

Jesika C Dicampli, NMD

  • Naturopath
  • Phoenix, AZ
National Provider Identifier
1659597839
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
06-941 Issued in AZ
Practice address
16421 N Tatum Blvd Ste 129
Phoenix, AZ 85032-3456
Phone
(602) 753-6058
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 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 06-941 AZ Primary

Addresses

Primary practice location

16421 N Tatum Blvd Ste 129
Phoenix, AZ 85032-3456

Mailing address

2027 W Desert Hollow Dr
Phoenix, AZ 85085-8604
Phone (480) 231-0091

Other practice location 1

2164 E Broadway Rd
Tempe, AZ 85282-1766
Phone (480) 970-0000

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
06-941AZMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran University of Health Sciences Naturopath Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jesika.dicampli@13103960817668.direct.elationemr.com

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1659597839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 W DESERT HOLLOW DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858604",
            "telephone_number": "480-231-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16421 N TATUM BLVD STE 129",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323456",
            "telephone_number": "602-753-6058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2164 E Broadway Rd",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852821766",
            "country_code": "US",
            "telephone_number": "480-970-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICAMPLI",
        "first_name": "JESIKA",
        "middle_name": "C",
        "credential": "NMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "06-941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.