Active NPI
Jaden Hawkinson, ND, LAC
- Naturopath
- Sedona, AZ
National Provider Identifier
1609594878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 22-1707
- Practice address
- 125 Kallof PL
Sedona, AZ 86336-5566 - Phone
- (928) 204-1942
- NPI assigned
- Aug 15, 2022
- Sex
- Male
- 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 | 22-1707 | AZ | Primary |
Addresses
Primary practice location
125 Kallof PL
Sedona, AZ 86336-5566
Mailing address
415 Pastoral PL
Sedona, AZ 86336-3735
Phone (303) 552-8494
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 |
|---|---|---|---|
| 22-1707 | AZ | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lodge at Sedona, LLC | Naturopath | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1609594878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 PASTORAL PL",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863363735",
"telephone_number": "303-552-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 KALLOF PL",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365566",
"telephone_number": "928-204-1942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINSON",
"first_name": "JADEN",
"credential": "ND, LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "22-1707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.