Active NPI
Jane Hendricks
- Naturopath
- Phoenix, AZ
National Provider Identifier
1992149488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- AZ 03-714
- Practice address
- 2909 N Central Ave
Suite 300
Phoenix, AZ 85012-2741 - Phone
- (602) 266-2010
- Fax
- (602) 266-0340
- NPI assigned
- Apr 26, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | AZ 03-714 | AZ | Primary |
Addresses
Primary practice location
2909 N Central Ave
Suite 300
Phoenix, AZ 85012-2741
Mailing address
4849 E Coronado Rd
Phoenix, AZ 85008-4215
Phone (480) 332-6667
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 |
|---|---|---|---|
| AZ 03-714 | AZ | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1992149488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4849 E CORONADO RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084215",
"telephone_number": "480-332-6667",
"fax_number": "602-266-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 N CENTRAL AVE",
"address_2": "SUITE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122741",
"telephone_number": "602-266-2010",
"fax_number": "602-266-0340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "JANE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-26",
"last_updated": "2013-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "AZ 03-714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.