DR. NICOLE RENEE KELLUM (NPI# 1043339468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043339468 |
| Entity Type | Individual |
| Full Name | DR. NICOLE RENEE KELLUM |
| Credential | N.D. |
| Practice Address |
531 E Lynwood St Phoenix AZ 85004-1626 |
| Mailing Address |
10435 N Scottsdale Rd Scottsdale AZ 85253-4530 |
| Practice Telephone | 6036608972 |
| Practice Fax Number | 6026263555 |
| Mailing Telephone | 6036608972 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2013-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 09-1131 | AZ | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336794882 | Nicole Kellum | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2019-08-01 |
| Street Address |
531 E LYNWOOD ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170361 | Stephanie Marie Butler | Marriage & Family Therapist | 531 E Lynwood St, Phoenix, AZ 85004-1626 | 2020-09-26 |
| 1982216040 | Lindsey Hall Menendez | Marriage & Family Therapist | 531 E Lynwood St, Phoenix, AZ 85004-1626 | 2020-08-20 |
| 1245842509 | Rebecca Tunnicliff | Student in an Organized Health Care Education/Training Program | 531 E Lynwood St, Phoenix, AZ 85004-1626 | 2020-08-18 |
| 1730790197 | Brittany Sage Mccord | Marriage & Family Therapist | 531 E Lynwood St, Phoenix, AZ 85004-1626 | 2020-08-11 |
| 1184114167 | Blue Ye Maya LLC | Clinic/Center | 531 E Lynwood St, Phoenix, AZ 85004-1626 | 2018-05-15 |
| 1700313343 | Laura Ann Slayton-garcia | Dietitian, Registered | 531 E Lynwood St, Phoenix, AZ 85004-1626 | 2017-05-14 |
| 1033561006 | The Phoenix Birth Center | Clinic/Center | 531 E Lynwood St, Phoenix, AZ 85004-1626 | 2016-07-01 |
| 1558586586 | Shell A Luttrell | Midwife | 531 E Lynwood St, Phoenix, AZ 85004-1626 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891870 | Nisharg Shashtri | Naturopath | 3946 E Cat Balue Dr, Phoenix, AZ 85050-4886 | 2020-04-28 |
| 1992325369 | Lillea Hartwell | Naturopath | 3101 N 32nd St Apt 102, Phoenix, AZ 85018-6295 | 2020-04-25 |
| 1033738828 | Tarah Friedland | Naturopath | 2620 N 40th St Apt 24, Phoenix, AZ 85008-1427 | 2020-04-11 |
| 1205471604 | Andrew Chambers | Naturopath | 4144 N 44th St Ste 7, Phoenix, AZ 85018-4260 | 2019-11-10 |
| 1154965069 | Whitney Donohue | Naturopath | 18220 N 68th St Apt 466, Phoenix, AZ 85054-9233 | 2019-11-04 |
| 1437792538 | Kashmeer Ramhit | Naturopath | 2135 W Poinsettia Dr, Phoenix, AZ 85029-3509 | 2019-10-21 |
| 1003458290 | Alexxa Wirth | Naturopath | 640 W Maryland Ave Ste 3, Phoenix, AZ 85013-1398 | 2019-10-09 |
| 1790326536 | Rosa-elise Scooler | Naturopath | 9858 S 44th St, Phoenix, AZ 85044-5594 | 2019-10-02 |
| 1124679022 | Helena Coker | Naturopath | 4644 N 22nd St Unit 2127, Phoenix, AZ 85016-4673 | 2019-09-23 |
| 1700441821 | Kira Golay | Naturopath | 19641 N 37th Way, Phoenix, AZ 85050-3921 | 2019-05-03 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.