Carroll Stockton Jacobs, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

1502 Issued in OR

Practice address

219 W Beverley St
Suite 201
Staunton, VA 24401-4287

Phone

(540) 213-1350

Fax

(540) 213-1350

NPI assigned

Feb 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922134162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 LOCUST AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229804414",
            "telephone_number": "540-256-1045",
            "fax_number": "540-213-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W BEVERLEY ST",
            "address_2": "SUITE 201",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244014287",
            "telephone_number": "540-213-1350",
            "fax_number": "540-213-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "CARROLL",
        "middle_name": "STOCKTON",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Communication Health Services, Inc (Wolfe Speech Therapy Plus)
• Intrepid of the Appalachians, Inc. (Intrepid USA Hospice)
• Joshuah Duncan Jackson, M.D.
• Thomas Addison Jackson, RPRS QMHP-A
• Cary Jacob, M.ED., CCC-SLP
• Sherri E Jacobs, ND
• Timothy Jana, M.D.
• Nancy Jansen, P.T.A.
• Ashley Jayakumar
• Thomas J Jayne, MD

• Naturopath in Staunton, VA
• Providers in Staunton, VA by specialty
• Naturopath in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.