DR. STACY LYNN RISEBOROUGH (NPI# 1366658288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366658288 |
| Entity Type | Individual |
| Full Name | DR. STACY LYNN RISEBOROUGH |
| Credential | N.D. |
| Practice Address |
1425 W Elliot Rd Suite A-203 Gilbert AZ 85233-5129 |
| Practice Telephone | 4808129000 |
| Practice Fax Number | 4808129040 |
| Mailing Telephone | 4808129000 |
| Mailing Fax Number | 4808129040 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 04-798 | AZ | Other Service Providers |
| Street Address |
1425 W ELLIOT RD SUITE A-203 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85233-5129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891768693 | Katherine Ellen Krieg | Pediatrics | 1425 W Elliot Rd, Gilbert, AZ 85233-5129 | 2006-02-10 |
| 1326600578 | Alexandria Dickerson | Specialist/Technologist | 1425 W Elliot Rd, Gilbert, AZ 85233-5129 | 2019-07-08 |
| 1124572607 | Kerry Failoni | Counselor | 1425 W Elliot Rd, 207, Gilbert, AZ 85233-5129 | 2016-08-12 |
| 1528454329 | Kristen Baker | Social Worker | 1425 W Elliot Rd, Suite 204, Gilbert, AZ 85233-5129 | 2015-04-09 |
| 1710125042 | Sportsdocs Family Chiropractic Group, Inc | Chiropractor | 1425 W Elliot Rd, Suite 203, Gilbert, AZ 85233-5129 | 2009-01-23 |
| 1114171550 | Nicole M Heim | Counselor | 1425 W Elliot Rd, Suite 201, Gilbert, AZ 85233-5129 | 2008-11-12 |
| 1689839672 | Justin Gomez | Chiropractor | 1425 W Elliot Rd, Suite 203, Gilbert, AZ 85233-5129 | 2008-07-19 |
| 1235303744 | Loth Sports & Family Chiropractic Inc | Chiropractor | 1425 W Elliot Rd, Suite 203, Gilbert, AZ 85233-5129 | 2008-04-15 |
| 1558558056 | Kelly Lyn Marley-smith | Counselor | 1425 W Elliot Rd, Suite 201, Gilbert, AZ 85233-5129 | 2007-09-27 |
| 1447467931 | Childrens Oasis Pediatrics | Pediatrics | 1425 W Elliot Rd, Suite 204, Gilbert, AZ 85233-5129 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467063594 | Specialized Education of Arizona, Inc. | Day Training, Developmentally Disabled Services | 875 S. Coooper Rd., Gilbert, AZ 85233 | 2020-08-12 |
| 1336649425 | Jason Diminico | Behavior Technician | 82 W Gilbert Road, Gilbert, AZ 85233 | 2018-02-15 |
| 1508378274 | L & S Az L.L.C. | Family Medicine | 201 W. Guadalupe Rd #102, Gilbert, AZ 85233 | 2017-11-02 |
| 1740799022 | Angel Day Care LLC | Clinic/Center | 815 W Wagner Ct, Gilbert, AZ 85233 | 2017-09-29 |
| 1235656356 | Jason Karstens | Physical Therapist | 1447 West Elliot Road, Suite 101, Gilbert, AZ 85233 | 2017-08-29 |
| 1538684956 | Independent By Design, Pllc | Occupational Therapy Assistant | 835 W Warner Rd Suite 101 - 623, Gilbert, AZ 85233 | 2017-08-07 |
| 1619406998 | Marri Keller | Physical Therapist | 690 Copper Rd, Suite 101, Gilbert, AZ 85233 | 2017-06-08 |
| 1538692470 | Ocotillo Medical Group LLC | Chiropractor | 2815 E. Ocotillo Rd, #4, Chandler, AZ 85233 | 2017-04-07 |
| 1922544634 | Riann Naomi Simmons | Nurse Practitioner | 800 W Elliot Road, Suite 103, Gilbert, AZ 85233 | 2017-01-19 |
| 1154793685 | Laura Beth Masters | Nurse Practitioner | Shelley Staymates, 890 W Elliott #120, Gilbert, AZ 85233 | 2015-10-23 |
| Find all providers in zip 85233 | ||||
| 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 |
|---|---|---|---|---|
| 1659905552 | Andrew J Kaufmann | Naturopath | 459 N Gilbert Rd Ste A135, Gilbert, AZ 85234-4592 | 2020-02-28 |
| 1174164818 | Lacey Royer | Naturopath | 1725 S Coronado Rd Apt 2154, Gilbert, AZ 85295-0088 | 2019-10-03 |
| 1447803085 | Kimberly L Wright | Naturopath | 620 N Hawk Cir, Gilbert, AZ 85234-7515 | 2019-07-23 |
| 1073098497 | William Lee Mitchell | Naturopath | 2200 W San Angelo St Apt 3030, Gilbert, AZ 85233-2213 | 2018-10-02 |
| 1003391152 | Mitchell Roodvoets | Naturopath | 3651 E Baseline Rd Ste E-121, Gilbert, AZ 85234-2689 | 2018-09-25 |
| 1033697073 | Mark Phillips | Naturopath | 1170 N Gilbert Rd Ste 15, Gilbert, AZ 85234-2340 | 2018-08-01 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1134630429 | Kristen Salzwedel | Naturopath | 1355 S Higley Rd Ste 113, Gilbert, AZ 85296-4789 | 2017-10-13 |
| 1306399530 | Tanisha Hoover | Naturopath | 1562 S Roadrunner Dr, Gilbert, AZ 85296-9667 | 2016-07-23 |
| 1134599673 | Parabatie Misir | Naturopath | 2676 E Bridgeport Pkwy, Gilbert, AZ 85295-2353 | 2015-09-27 |
| Find all providers in GILBERT | ||||
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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.