Jessica Kate Anderson, N.M.D.
Individual provider Active NPI Naturopath · Tempe, AZ
NPI 1992884720 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992884720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 05-886 (AZ)
- Practice address
- 4440 S Rural Rd
Building F, 2ND Floor
Tempe, AZ 85282-7044 - Phone
- (480) 883-7240
- NPI assigned
- Nov 3, 2006
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-886 | AZ | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 05-886 | AZ | Yes |
Addresses
Primary practice location
4440 S Rural Rd
Building F, 2ND Floor
Tempe, AZ 85282-7044
Mailing address
14015 N 94TH St
Apt 3130
Scottsdale, AZ 85260-3723
Phone (480) 330-2515
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.