Individual provider Active NPI

Anne Shaw, NMD

  • Naturopath
  • Surprise, AZ
National Provider Identifier
1932504594
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
14-1455 Issued in AZ
Practice address
15278 W Bell Rd Ste 103
Surprise, AZ 85374-3100
Phone
(602) 432-4055
Fax
(833) 264-1970
NPI assigned
Oct 24, 2014
Last updated
Jan 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14-1455 AZ
Naturopath 175F00000X 14-1455 AZ Primary

Addresses

Primary practice location

15278 W Bell Rd Ste 103
Surprise, AZ 85374-3100

Mailing address

15278 W Bell Rd Ste 103
Surprise, AZ 85374-3100
Phone (602) 432-4055

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
14-1455AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1932504594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15278 W BELL RD STE 103",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743100",
            "telephone_number": "602-432-4055",
            "fax_number": "833-264-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15278 W BELL RD STE 103",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743100",
            "telephone_number": "602-432-4055",
            "fax_number": "833-264-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "NMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "14-1455",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "14-1455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.