Individual provider Active NPI

Marnie Whitley, NMD, LPC

  • Naturopath
  • Laveen, AZ
National Provider Identifier
1881037661
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
13-1356 Issued in AZ
Practice address
4412 W Piedmont Rd
Laveen, AZ 85339-2095
Phone
(480) 363-1675
NPI assigned
Apr 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC 12941 AZ
Naturopath 175F00000X 13-1356 AZ Primary

Addresses

Primary practice location

4412 W Piedmont Rd
Laveen, AZ 85339-2095

Mailing address

4412 W Piedmont Rd
Laveen, AZ 85339-2095

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
LPC 12941AZMDCounselor
13-1356AZMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates of the East Valley, PLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marnie.whitley.1@30730.direct.athenahealth.com

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": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1881037661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 W PIEDMONT RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 W PIEDMONT RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392095",
            "telephone_number": "480-363-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "MARNIE",
        "name_prefix": "Dr.",
        "credential": "NMD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC 12941",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "13-1356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.