Jacqueline Mendoza Babol, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO00000715 Issued in WA

Practice address

205 N University
#4
Spokane, WA 99206

Phone

(509) 928-8181

Fax

(208) 772-9949

NPI assigned

Aug 22, 2005

Reactivated

Sep 7, 2007

Last updated

Nov 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbabol@faac-wa.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foot and Ankle Clinic of Spokane Inc

  dba Surgery Center of Spokane

  • Foot & Ankle Surgery Podiatrist
  • Spokane Valley, WA
  • NPI 1497839823

  ID

  Medicare reassignment NPD Authorized official
• Foot and Ankle Clinic of Spokane Inc

  • Durable Medical Equipment & Medical Supplies
  • Hayden, ID
  • NPI 1679938294
  NPD Authorized official
• Foot & Ankle Clinic of Spokane

  • Foot & Ankle Surgery Podiatrist
  • Spokane Valley, WA
  • NPI 1285626622
  NPD (past) Authorized official
• Foot and Ankle Clinic of Spokane Inc

  • Durable Medical Equipment & Medical Supplies
  • Spokane Valley, WA
  • NPI 1124109590

  Podiatrist

  NPD (past) Authorized official
• Foot and Ankle Clinic of Spokane Inc

  dba Surgery Center of Spokane

  • Ambulatory Surgical Clinic/Center
  • Spokane Valley, WA
  • NPI 1548252968
  NPD (past) Authorized official
• Foot and Ankle Clinic of Spokane Inc

  • Durable Medical Equipment & Medical Supplies
  • Kellogg, ID
  • NPI 1114382553
  Authorized official Same address or phone
• Foot and Ankle Clinic of Spokane Inc

  • Durable Medical Equipment & Medical Supplies
  • Sandpoint, ID
  • NPI 1588029920
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kootenai Health, Inc.

  • General Acute Care Hospital
  • Coeur d'Alene, ID
  • NPI 1992798409
  Care Compare affiliation

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1528050994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 E SPRAGUE AVE",
            "address_2": "#278",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99206",
            "telephone_number": "509-928-8181",
            "fax_number": "208-772-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N UNIVERSITY",
            "address_2": "#4",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99206",
            "telephone_number": "509-928-8181",
            "fax_number": "208-772-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABOL",
        "first_name": "JACQUELINE",
        "middle_name": "MENDOZA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2015-11-10",
        "deactivation_date": "2005-08-22",
        "reactivation_date": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000715",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ID",
            "license": "P218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Nathan Babcock, 101YA0400X
• Dorothy Babcock, EP-C
• Rebecca Baber
• Tiana Pualani Babers
• Anastasia Reign Babnick
• David Allen Baca, PA-C
• Krista Hillary Baca, CRNA
• Leann G Bach, PA-C
• Erica Leigh Bachand, DPT
• Bijou Bachelor

• Podiatrist in Spokane, WA
• Providers in Spokane, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.