Individual provider Active NPI

Michelle Retz, N.D.

  • Naturopath
  • Scottsdale, AZ
National Provider Identifier
1851611792
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
10-1191 Issued in AZ
Practice address
13402 N Scottsdale Rd Ste A120
Scottsdale, AZ 85254-4036
Phone
(480) 360-0115
Fax
(844) 685-0302
NPI assigned
Jun 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 10-1191D AZ
Naturopath 175F00000X 10-1191 AZ Primary

Addresses

Primary practice location

13402 N Scottsdale Rd Ste A120
Scottsdale, AZ 85254-4036

Mailing address

13402 N Scottsdale Rd Ste A120
Scottsdale, AZ 85254-4036
Phone (480) 360-0115

Other practice location 1

13832 N 32nd St
Suite 126
Phoenix, AZ 85032-5613
Phone (602) 493-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hello@ethosscottsdale.com Direct

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
10-1191AZMDNaturopath
10-1191DAZMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Medical Health Center, LLC Naturopath Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851611792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13402 N SCOTTSDALE RD STE A120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544036",
            "telephone_number": "480-360-0115",
            "fax_number": "844-685-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 N SCOTTSDALE RD STE A120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544036",
            "telephone_number": "480-360-0115",
            "fax_number": "844-685-0302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13832 N 32nd St",
            "address_2": "Suite 126",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850325613",
            "country_code": "US",
            "telephone_number": "602-493-2273",
            "fax_number": "602-493-2159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETZ",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2023-03-07",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "10-1191D",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "10-1191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hello@ethosscottsdale.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13402 N Scottsdale Rd Ste A120",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852544036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.