Jade Naturopathic Medicine

Primary specialty

NaturopathTaxonomy code 175F00000X

License

3095 Issued in OR

Legal business name

JADE NATUROPATHIC MEDICINE

Practice address

2955 N Hwy 97 Ste 200
Bend, OR 97703-7559

Phone

(541) 621-1883

NPI assigned

Jun 17, 2016

Organization subpart

No

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

Authorized official

Name

Mikinzie Smoot

Title

Naturopathic Doctor

Phone

(541) 621-1883

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1508216862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 N HWY 97 STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 N HWY 97 STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037559",
            "telephone_number": "541-621-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE NATUROPATHIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "SMOOT",
        "authorized_official_first_name": "MIKINZIE",
        "authorized_official_title_or_position": "NATUROPATHIC DOCTOR",
        "authorized_official_telephone_number": "541-621-1883"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "3095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura L Jacobs, DPT
• Molly A Jacobs
• Molly Gallagher Jacobs, OTR/L
• Scott R Jacobson, MD
• Stephanie Jacobson
• Kelsey C Jaeckel
• Melinda Jahn, RN
• David Enrique Jairala
• James D Ward DC PC
• James D Ward, DC, PC

• Naturopath in Bend, OR
• Providers in Bend, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.