Jacqueline Rosales, ICF, ACC, PCC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

81737 Sun Cactus LN
La Quinta, CA 92253-7744

Phone

(949) 212-3875

NPI assigned

Apr 11, 2022

Last updated

Apr 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1033851928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81737 SUN CACTUS LN",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537744",
            "telephone_number": "949-212-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81737 SUN CACTUS LN",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537744",
            "telephone_number": "949-212-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "JACQUELINE",
        "credential": "ICF, ACC, PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Rose Rodriguez, DNP
• Odet Rodriguez, RDH
• Sabrina N Rodriguez
• Jaime Rojas, DDS
• Tiana Marie Romero, AMFT
• Rosi Physiotherapy Inc.
• Jessica Ruiz-Rosas
• Edward A Ruiz, MD
• Erica L Ruiz
• Erica Michelle Ruiz, MD

• Health Educator in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Health Educator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.