Active NPI
Janice Sue Jackson, ND
- Naturopath
- Fountain Hills, AZ
National Provider Identifier
1104354901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 16-1551
- Practice address
- 12052 N Saguaro Blvd Unit 201
Fountain Hills, AZ 85268-4673 - Phone
- (480) 886-3059
- Fax
- (480) 900-7150
- NPI assigned
- May 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 16-1551 | AZ | Primary |
Addresses
Primary practice location
12052 N Saguaro Blvd Unit 201
Fountain Hills, AZ 85268-4673
Mailing address
PO Box 17844
Fountain Hills, AZ 85269-7844
Phone (480) 886-3059
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 |
|---|---|---|---|
| 16-1551 | AZ | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495584000000",
"number": "1104354901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17844",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852697844",
"telephone_number": "480-886-3059",
"fax_number": "480-900-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12052 N SAGUARO BLVD UNIT 201",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852684673",
"telephone_number": "480-886-3059",
"fax_number": "480-900-7150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JANICE",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-24",
"last_updated": "2017-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "16-1551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Hills, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.