Active NPI
Jacqueline Jo Quinn, D.O.M., LAC, LMT, DI
- Acupuncturist
- Scottsdale, AZ
National Provider Identifier
1215195292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0580
- Practice address
- 3014 N. Hayden Rd
Suite 106a
Scottsdale, AZ 85251 - Phone
- (480) 882-8385
- NPI assigned
- May 27, 2008
- Last updated
- Dec 13, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Acupuncturist | 171100000X | 0580 | AZ | Primary |
| Acupuncturist | 171100000X | 1011 | NM |
Addresses
Primary practice location
3014 N. Hayden Rd
Suite 106a
Scottsdale, AZ 85251
Mailing address
1229 N. Alma School Rd
Unit 14
Mesa, AZ 85201
Phone (480) 882-8385
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 |
|---|---|---|---|
| 1011 | NM | MD | Clinical Psychologist |
| 0580 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481587200000",
"number": "1215195292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 N. ALMA SCHOOL RD",
"address_2": "UNIT 14",
"city": "MESA",
"state": "AZ",
"postal_code": "85201",
"telephone_number": "480-882-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3014 N. HAYDEN RD",
"address_2": "SUITE 106A",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85251",
"telephone_number": "480-882-8385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "JACQUELINE",
"middle_name": "JO",
"name_prefix": "Miss",
"credential": "D.O.M., LAC, LMT, DI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2016-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": "0580",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "1011",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.