Stephanie Dorthea Shah, D.DIV.
Individual provider Active NPI Naturopath · Holly Grove, AR
NPI 1972484715 · NPPES record last updated Sep 9, 2025
Key facts
- NPI
- 1972484715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- Practice address
- 185 South Smith Street
Holly Grove, AR 72069-0193 - Phone
- (870) 468-6358
- NPI assigned
- Sep 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | Yes |
Addresses
Primary practice location
185 South Smith Street
Holly Grove, AR 72069-0193
Mailing address
PO Box 193
Holly Grove, AR 72069-0193
Phone (870) 468-6358
Other practice location 1
PO Box 193
Holly Grove, AR 72069-0193
Phone (870) 468-6358
Other providers in Holly Grove, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.