Individual provider Active NPI

Myleen Palasio Simone, NMD

  • Naturopath
  • Surprise, AZ
National Provider Identifier
1790296085
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
17-1648 Issued in AZ
Practice address
14961 W Bell Rd Ste A125
Surprise, AZ 85374-3200
Phone
(623) 252-1390
Fax
(602) 581-7142
NPI assigned
Oct 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 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 17-1648 AZ Primary

Addresses

Primary practice location

14961 W Bell Rd Ste A125
Surprise, AZ 85374-3200

Mailing address

18273 W Mauna Loa LN
Surprise, AZ 85388-7637
Phone (626) 807-3917

Other practice location 1

18273 W Mauna Loa Ln
Surprise, AZ 85388-7637
Phone (623) 252-1390

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
17-1648AZMDNaturopath

Interoperability endpoints

  • Direct secure messaging: myleen.simone@36318950653956.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1790296085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18273 W MAUNA LOA LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853887637",
            "telephone_number": "626-807-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14961 W BELL RD STE A125",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743200",
            "telephone_number": "623-252-1390",
            "fax_number": "602-581-7142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18273 W Mauna Loa Ln",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853887637",
            "country_code": "US",
            "telephone_number": "623-252-1390",
            "fax_number": "602-581-7142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "MYLEEN",
        "middle_name": "PALASIO",
        "name_prefix": "Dr.",
        "credential": "NMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "17-1648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.