Kristin Berkner, ND
Individual provider Active NPI Naturopath · Queen Creek, AZ
NPI 1831428515 · NPPES record last updated Jan 30, 2013
Key facts
- NPI
- 1831428515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 09-1135 (AZ)
- Practice address
- 21820 S Ellsworth Rd
Suite 101
Queen Creek, AZ 85142-6177 - Phone
- (480) 296-6173
- Fax
- (480) 677-8310
- NPI assigned
- Dec 9, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 09-1135 | AZ | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queen Creek Naturopathic PLLC | Current |
Accepting new patients | |
| Queen Creek Back Care, LLC | Past |
Accepting new patients |
Locations
21820 S Ellsworth Rd
Ste 101
Queen Creek, AZ 85142
Phone (480) 296-6173
Interoperability endpoints
- dr.berkner@org36.direct.charmhealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 09-1135 | AZ | Yes |
Addresses
Primary practice location
21820 S Ellsworth Rd
Suite 101
Queen Creek, AZ 85142-6177
Mailing address
18704 E Mary Ann Way
Queen Creek, AZ 85142-9459
Phone (480) 250-1924
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2013. 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.