Organization Active NPI

Natalie Fogelson PLLC

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1821379082
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5298 Issued in AZ
Legal business name
NATALIE FOGELSON PLLC
Practice address
4025 W Bell Rd Ste 22
Phoenix, AZ 85053-2749
Phone
(623) 580-9323
Fax
(623) 580-9318
NPI assigned
Sep 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Natalie Chantall Fogelson, PTNPI 1295051985
Title
Owner/Medical Director
Phone
(480) 614-5461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5298 AZ Primary

Addresses

Primary practice location

4025 W Bell Rd Ste 22
Phoenix, AZ 85053-2749

Mailing address

PO Box 3635
Cottonwood, AZ 86326-2561
Phone (928) 639-0166

Other names 1

  • CORAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Oncological Rehabilitation and Lymphedema2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4025 W Bell Rd
Ste 22
Phoenix, AZ 85053
Phone (623) 580-9323

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1821379082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3635",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863262561",
            "telephone_number": "928-639-0166",
            "fax_number": "928-639-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD STE 22",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532749",
            "telephone_number": "623-580-9323",
            "fax_number": "623-580-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIE FOGELSON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "FOGELSON",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "CHANTALL",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-614-5461",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "5298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CORAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 10, 2023; 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.