Active NPI
Jenessa Reyes Colocado
- Naturopath
- Mesa, AZ
National Provider Identifier
1134038078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- Practice address
- 1440 S Country Club Dr Ste 30
Mesa, AZ 85210-9700 - Phone
- (480) 576-9024
- NPI assigned
- Sep 4, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | AZ | Primary |
Addresses
Primary practice location
1440 S Country Club Dr Ste 30
Mesa, AZ 85210-9700
Mailing address
1400 N Cooper Rd Unit 1069
Gilbert, AZ 85233-1254
Other practice location 1
3001 E Thomas Rd Ste 102
Phoenix, AZ 85016-8023
Phone (602) 581-7650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1134038078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N COOPER RD UNIT 1069",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852331254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 S COUNTRY CLUB DR STE 30",
"city": "MESA",
"state": "AZ",
"postal_code": "852109700",
"telephone_number": "480-576-9024"
}
],
"practiceLocations": [
{
"address_1": "3001 E Thomas Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850168023",
"country_code": "US",
"telephone_number": "602-581-7650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES COLOCADO",
"first_name": "JENESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.