Shanna Diane Bayrd
Individual provider Active NPI Naturopath · Tempe, AZ
NPI 1730699190 · NPPES record last updated Oct 11, 2017
Key facts
- NPI
- 1730699190
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 17-1627 (AZ)
- Practice address
- 2039 S Mill Ave
Tempe, AZ 85282-2137 - Phone
- (480) 999-4979
- NPI assigned
- Oct 11, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-1627 | AZ | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 17-1627 | AZ | Yes |
Addresses
Primary practice location
2039 S Mill Ave
Tempe, AZ 85282-2137
Mailing address
2039 S Mill Ave
Tempe, AZ 85282-2137
Phone (480) 999-4979
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.