Active NPI
Denise Marie Cooluris, ND
- Naturopath
- Sebastopol, CA
National Provider Identifier
1295914182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 353
- Practice address
- 435 Petaluma Ave Ste 150
Sebastopol, CA 95472-4273 - Phone
- (707) 861-7300
- Fax
- (707) 823-8568
- NPI assigned
- Oct 29, 2007
- 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 | 353 | CA | Primary |
Addresses
Primary practice location
435 Petaluma Ave Ste 150
Sebastopol, CA 95472-4273
Mailing address
6028 Fredricks Rd
Sebastopol, CA 95472-5643
Phone (360) 470-9911
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 |
|---|---|---|---|
| 353 | CA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bouch Medical Corporation | Past | Accepting new patients | |
| Hill Park Integrative Medical Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Sebastopol, CA
- NPI 1720467962
-
- General Practice Physician
- Sebastopol, CA
- NPI 1952755415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1295914182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6028 FREDRICKS RD",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954725643",
"telephone_number": "360-470-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 PETALUMA AVE STE 150",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724273",
"telephone_number": "707-861-7300",
"fax_number": "707-823-8568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLURIS",
"first_name": "DENISE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-29",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.