Individual provider Active NPI

Zahara Sundermeyer, NMD

  • Naturopath
  • Modesto, CA
National Provider Identifier
1689017014
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND696 Issued in CA
Practice address
205 Judith LN
Modesto, CA 95350-4413
Phone
(209) 809-4251
Fax
(877) 533-4226
NPI assigned
Apr 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 13-1359 AZ
Naturopath 175F00000X ND696 CA Primary

Addresses

Primary practice location

205 Judith LN
Modesto, CA 95350-4413

Mailing address

2842 N Richey Blvd
Tucson, AZ 85716-2023
Phone (520) 396-4866

Other identifiers 1

IdentifierTypeStateIssuer
1689017014MedicaidAZ

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
13-1359AZMDNaturopath
ND696CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1689017014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2842 N RICHEY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162023",
            "telephone_number": "520-396-4866",
            "fax_number": "877-533-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 JUDITH LN",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504413",
            "telephone_number": "209-809-4251",
            "fax_number": "877-533-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDERMEYER",
        "first_name": "ZAHARA",
        "name_prefix": "Dr.",
        "credential": "NMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "13-1359",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689017014",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.