Individual provider Active NPI

Thomas Fishburne Jemison, N.M.D

  • Naturopath
  • Tucson, AZ
National Provider Identifier
1659606622
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
09-1149 Issued in AZ
Practice address
2905 E Broadway Blvd
Tucson, AZ 85716-5311
Phone
(520) 331-8809
Fax
(480) 420-3254
NPI assigned
Oct 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 09-1149 AZ Primary

Addresses

Primary practice location

2905 E Broadway Blvd
Tucson, AZ 85716-5311

Mailing address

1830 E Broadway Blvd Ste 124-212
Tucson, AZ 85719-5966
Phone (480) 420-3254

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
09-1149AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1659606622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 E BROADWAY BLVD STE 124-212",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857195966",
            "telephone_number": "480-420-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857165311",
            "telephone_number": "520-331-8809",
            "fax_number": "480-420-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEMISON",
        "first_name": "THOMAS",
        "middle_name": "FISHBURNE",
        "name_prefix": "Dr.",
        "credential": "N.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-08",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "09-1149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

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