Individual provider Active NPI

Heather V Davis, N.M.D.

  • Naturopath
  • Prescott, AZ
National Provider Identifier
1851522387
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
09-1127 Issued in AZ
Practice address
140 N Montezuma St
Ste 102
Prescott, AZ 86301-3006
Phone
(928) 362-1621
Fax
(928) 304-7162
NPI assigned
Jul 31, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND188 HI
Naturopath 175F00000X 09-1127 AZ Primary

Addresses

Primary practice location

140 N Montezuma St
Ste 102
Prescott, AZ 86301-3006

Mailing address

PO Box 10337
Prescott, AZ 86304-0337
Phone (928) 362-1621

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
09-1127AZMDNaturopath
ND188HIMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1851522387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10337",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040337",
            "telephone_number": "928-362-1621",
            "fax_number": "928-304-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N MONTEZUMA ST",
            "address_2": "STE 102",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013006",
            "telephone_number": "928-362-1621",
            "fax_number": "928-304-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HEATHER",
        "middle_name": "V",
        "credential": "N.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "HI",
            "license": "ND188",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "09-1127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.