Alexandra E. Schulthess, ND, BCDNM,CFMP

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

License

06766 Issued in CA

Practice address

17710 Bear Creek Rd
Boulder Creek, CA 95006-8607

Phone

(669) 225-3173

NPI assigned

Sep 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1992173660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17710 BEAR CREEK RD",
            "city": "BOULDER CREEK",
            "state": "CA",
            "postal_code": "950068607",
            "telephone_number": "669-225-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17710 BEAR CREEK RD",
            "city": "BOULDER CREEK",
            "state": "CA",
            "postal_code": "950068607",
            "telephone_number": "669-225-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTHESS",
        "first_name": "ALEXANDRA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "ND, BCDNM,CFMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NV",
            "license": "06766",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "CA",
            "license": "06766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Phillips, RN
• Jordenne Rachelle, MA
• Patrick Brendan Rogers, D.C.
• Mayya Sakr
• Mesk Samara
• Corinne Lyn Seymour, MA, LMFT
• Micah Elizabeth Smith-Khan, M.S., CCC-SLP
• Michelle Marlys South, LVN
• Anna Sramek, RDN
• Stephanie Strudley, MS

• Integrative Medicine Physician in Boulder Creek, CA
• Providers in Boulder Creek, CA by specialty
• Integrative Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.