Active NPI
Michelle Retz, N.D.
- Naturopath
- Scottsdale, AZ
National Provider Identifier
1851611792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 10-1191
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10-1191 | AZ | MD | Naturopath |
| 10-1191D | AZ | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Naturopath
- Phoenix, AZ
- NPI 1891914594
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.