Active NPI
La Deana L Jeane, ND
- Naturopath
- Santa Rosa, CA
National Provider Identifier
1033463740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND870
- Practice address
- 1160 N Dutton Ave Ste 260
Santa Rosa, CA 95401-4671 - Phone
- (707) 292-8882
- NPI assigned
- Nov 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 12-1298 | AZ | |
| Naturopath | 175F00000X | ND870 | CA | Primary |
Addresses
Primary practice location
1160 N Dutton Ave Ste 260
Santa Rosa, CA 95401-4671
Mailing address
7197 Lynch Rd
Sebastopol, CA 95472-4465
Phone (337) 208-5476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12-1298 | AZ | MD | Naturopath |
| ND870 | CA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575676800000",
"number": "1033463740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7197 LYNCH RD",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724465",
"telephone_number": "337-208-5476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 N DUTTON AVE STE 260",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014671",
"telephone_number": "707-292-8882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEANE",
"first_name": "LA DEANA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-01",
"last_updated": "2019-12-07",
"certification_date": "2019-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "12-1298",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
- Wendy Javier Chan
- Aruna Krishnan Jayaraman, M.D., M.H.S.
- Jajuan Jaymes
- Shiloh Marie Jayne
- Skyler Jack Jayne
- Jeannette B. Currie, M.D. , Inc.
- Jeannie L Pflum DO Inc (Women's Health with Dr Jeannie Pflum)
- Jeffers Dentistry Partnership (Jeffers Family Dentistry)
- Dwight Jeffers
- Kevin Todd Jeffers, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.