DR. JACQUELINE ROCHELLE POULOS (NPI# 1336418623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336418623 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE ROCHELLE POULOS |
| Credential | N.M.D |
| Practice Address |
1100 N San Francisco St Suite A Flagstaff AZ 86001-3260 |
| Practice Telephone | 9287741332 |
| Practice Fax Number | 9287740042 |
| Mailing Telephone | 9287741332 |
| Mailing Fax Number | 9287740042 |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2015-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 11-1272 | AZ | Other Service Providers |
| Street Address |
1100 N SAN FRANCISCO ST SUITE A |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912990367 | Laurie Sue Perrin | Obstetrics & Gynecology | 1100 N San Francisco St, Ste B, Flagstaff, AZ 86001-3260 | 2005-08-31 |
| 1245635051 | Jacob Williams | Dentist | 1100 N San Francisco St, Suite D, Flagstaff, AZ 86001-3260 | 2014-10-23 |
| 1134441785 | Flagstaff Obgyn | Specialist | 1100 N San Francisco St, Suite B, Flagstaff, AZ 86001-3260 | 2010-02-24 |
| 1730357153 | Kristi Beth Kolek | Physician Assistant | 1100 N San Francisco St, Flagstaff, AZ 86001-3260 | 2008-02-19 |
| 1437375524 | James Day, Dds, Med, PC | Dentist | 1100 N San Francisco St, D, Flagstaff, AZ 86001-3260 | 2007-04-17 |
| 1346385556 | Lindstrom Medical, PC | Obstetrics & Gynecology | 1100 N San Francisco St, Suite B, Flagstaff, AZ 86001-3260 | 2007-02-21 |
| 1558408476 | James Kenneth Day | Dentist | 1100 N San Francisco St, Ste D, Flagstaff, AZ 86001-3260 | 2007-01-31 |
| 1134280738 | Michael J. Flores Md PC | Preferred Provider Organization | 1100 N San Francisco St, Suite E, Flagstaff, AZ 86001-3260 | 2006-12-13 |
| 1548361041 | Perrin Ob/gyn, PC | Obstetrics & Gynecology | 1100 N San Francisco St, Suite B, Flagstaff, AZ 86001-3260 | 2006-09-26 |
| 1740381250 | E. Elizabeth Claxton Md, PC | Obstetrics & Gynecology | 1100 N San Francisco St, Suite B, Flagstaff, AZ 86001-3260 | 2006-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053950667 | Edward L Griffen | Naturopath | 13396 Leupp Rd, Flagstaff, AZ 86004-8576 | 2019-12-30 |
| 1902380215 | Kristin C Austin | Naturopath | 930 N Switzer Canyon Dr Ste 104, Flagstaff, AZ 86001-4834 | 2018-09-21 |
| 1235520123 | Elisabeth Kearney | Naturopath | 318 W Birch Ave Ste 5, Flagstaff, AZ 86001-4407 | 2015-02-12 |
| 1003244096 | Erin Winter | Naturopath | 409 N Humphreys St Ste 103, Flagstaff, AZ 86001-4506 | 2013-10-29 |
| 1841583580 | Karen Vanderveer | Naturopath | 662 N Pinecliff Dr, Flagstaff, AZ 86001-3365 | 2011-05-26 |
| 1013178060 | Amber G Belt | Naturopath | 323 N Leroux St, Suite B, Flagstaff, AZ 86001-8600 | 2008-06-23 |
| 1669644266 | Brandie Elizabeth Gowey | Naturopath | 1100 N San Francisco St Ste F, Flagstaff, AZ 86001-3260 | 2008-03-24 |
| 1326226309 | Alison Redwine | Naturopath | 105 E Birch Ave, Flagstaff, AZ 86001-4609 | 2008-02-01 |
| 1194855684 | Mary Carolina Poore | Naturopath | 809 N Humphreys St, Flagstaff, AZ 86001-3027 | 2007-03-06 |
| 1528576444 | Voytek Inc | Naturopath | 1585 S Plaza Way Ste 150, Flagstaff, AZ 86001-7156 | 2018-01-12 |
| Find all providers in FLAGSTAFF | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.