Healthcare Provider Details

I. General information

NPI: 1699687616
Provider Name (Legal Business Name): KERI WEBSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16573 N 92ND ST STE 125
SCOTTSDALE AZ
85260-1747
US

IV. Provider business mailing address

16573 N 92ND ST STE 125
SCOTTSDALE AZ
85260-1747
US

V. Phone/Fax

Practice location:
  • Phone: 480-454-6311
  • Fax:
Mailing address:
  • Phone: 480-454-6311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZE0500X
TaxonomyEEG Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: