Organization Active NPI

Jei Holdings, LLC

Doing business as Tree of Life Medical

  • Obstetrics & Gynecology Physician
  • Scottsdale, AZ
National Provider Identifier
1497295836
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JEI HOLDINGS, LLC
Doing business as
Tree of Life Medical
Practice address
9377 E Bell Rd Ste 313
Scottsdale, AZ 85260-1504
Phone
(480) 734-7515
Fax
(480) 393-7515
NPI assigned
Mar 5, 2017
Last updated
Dec 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Dr. Jennifer Elizabeth Iacovelli, M.D.NPI 1912198011
Title
Owner
Phone
(480) 734-7515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

9377 E Bell Rd Ste 313
Scottsdale, AZ 85260-1504

Mailing address

9377 E Bell Rd Ste 313
Scottsdale, AZ 85260-1504
Phone (480) 734-7515

Other names 1

  • Tree of Life Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170504000099 AZ Part B Supplier - Clinic/Group Practice 3274810064 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

8573 E Princess Dr
Ste A207
Scottsdale, AZ 85255

9377 E Bell Rd
Ste 313
Scottsdale, AZ 85260
Phone (480) 513-9440

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1497295836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 313",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601504",
            "telephone_number": "480-734-7515",
            "fax_number": "480-393-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 313",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601504",
            "telephone_number": "480-734-7515",
            "fax_number": "480-393-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEI HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-05",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "IACOVELLI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-734-7515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tree of Life Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tree of Life Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.