Jacquelyn Labrie Pulido

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

679 S New Hampshire Ave Ste 400
Los Angeles, CA 90005-1355

Phone

(213) 639-0298

NPI assigned

May 7, 2019

Last updated

Jul 28, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1750946547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 ZOE AVE STE 304",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902553699",
            "telephone_number": "323-346-0960",
            "fax_number": "323-346-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 S NEW HAMPSHIRE AVE STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051355",
            "telephone_number": "213-639-0298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2677 Zoe Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902553699",
            "country_code": "US",
            "telephone_number": "323-346-0960",
            "fax_number": "323-346-0966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABRIE PULIDO",
        "first_name": "JACQUELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratory Corporation of America
• Laboratory Environment LLC
• Laboratory Industry Services, LLC
• Mark Lawrence Labowe, M.D.
• Madeleine Leigh Labrecque, NP
• Joseph William Labrie, PH.D.
• Labs-All, Inc
• Ivana Luisa Labuckas, M.A., LMFT
• Leily Labuda, LMFT 141864
• Fred Labunikher, M.A., APCC

• Peer Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.