Emily Rose Jagodzinski

Primary specialty

HomeopathTaxonomy code 175L00000X

License

3508 Issued in AZ

Practice address

16424 N 113TH Ave
Surprise, AZ 85378-9340

Phone

(623) 399-6585

NPI assigned

Mar 26, 2007

Last updated

Apr 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Emily Rose Johns Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1609994896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16424 N 113TH AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749340",
            "telephone_number": "623-399-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16424 N 113TH AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789340",
            "telephone_number": "623-399-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGODZINSKI",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "AZ",
            "license": "3508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "JOHNS",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Jeree Jackson, LPC
• Ryne Jackson, DMD, MSD
• Hannah Jacobs, DOT
• Susan Andrea Jaffe, PT
• Kimberly Jager, FNP
• Mark Andrew Jagodzinski, PT
• Trace Jahner, M.S., CF-SLP
• James Care Associates LLC
• David F. James, DDS
• Kylie Delen James

• Homeopath in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Homeopath in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.