Enliven MBS, LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

161567 Issued in AZ

Legal business name

ENLIVEN MBS, LLC

Practice address

11000 N Scottsdale Rd
Ste 230
Scottsdale, AZ 85254-6130

Phone

(347) 470-9766

NPI assigned

Nov 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Vanessa Jane Fontanilla Ruiz, NMD

Title

Naturopathic Medical Doctor

Phone

(347) 470-9766

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1902348964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 S RURAL RD",
            "address_2": "#24",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821420",
            "telephone_number": "347-470-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD",
            "address_2": "STE 230",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546130",
            "telephone_number": "347-470-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIVEN MBS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "VANESSA JANE",
        "authorized_official_middle_name": "FONTANILLA",
        "authorized_official_title_or_position": "NATUROPATHIC MEDICAL DOCTOR",
        "authorized_official_telephone_number": "347-470-9766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NMD"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "161567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194274639",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Carol Engelman, M.D.
• Robert Williams England Jr., MD
• Richard L Engle, M.D.
• David Ralph Engstrom, PH.D.
• Swati Enhoffer, PHARM.D.
• Russell Anthony Enright, MC
• Payam Entezami, MD
• Enticare PC
• Entrust Hospice, LLC
• Envita Family Medicine LLC

• Naturopath in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Naturopath in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.