Individual provider Active NPI

Debbie Jacques, N.M.D.

  • Naturopath
  • Sierra Vista, AZ
National Provider Identifier
1265553929
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
96-477 Issued in AZ
Practice address
1865 Paseo San Luis
Ste E
Sierra Vista, AZ 85635-5816
Phone
(520) 459-5210
Fax
(520) 459-5207
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 96-477 AZ Primary

Addresses

Primary practice location

1865 Paseo San Luis
Ste E
Sierra Vista, AZ 85635-5816

Mailing address

1865 Paseo San Luis
Ste E
Sierra Vista, AZ 85635-5816
Phone (520) 459-5210

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

LicenseStateTypeSpecialty
96-477AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1265553929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 PASEO SAN LUIS",
            "address_2": "STE E",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355816",
            "telephone_number": "520-459-5210",
            "fax_number": "520-459-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 PASEO SAN LUIS",
            "address_2": "STE E",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355816",
            "telephone_number": "520-459-5210",
            "fax_number": "520-459-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "DEBBIE",
        "name_prefix": "Dr.",
        "credential": "N.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "96-477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.