DR. JACQUELINE MENDOZA BABOL (NPI# 1528050994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528050994 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE MENDOZA BABOL |
| Credential | DPM |
| Practice Address |
205 N University #4 Spokane WA 99206 |
| Mailing Address |
9116 E Sprague Ave #278 Spokane WA 99206 |
| Practice Telephone | 5099288181 |
| Practice Fax Number | 2087729949 |
| Mailing Telephone | 5099288181 |
| Mailing Fax Number | 2087729949 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2015-11-10 |
| NPI Deactivation Date | 08/22/2005 |
| NPI Reactivation Date | 2007-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | P218 | ID | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | PO00000715 | WA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1116623 | 05 |
| Street Address |
205 N UNIVERSITY #4 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913495 | Ea Healing Arts LLC | Acupuncturist | 210 N University Rd, Ste 200, Spokane Valley, WA 99206 | 2020-05-16 |
| 1922659630 | Creative Harmony Counseling LLC | Counselor | 721 N Pines Road, Spokane, WA 99206 | 2019-09-24 |
| 1477027092 | Hunter Badgley | Counselor | 721 N Pines Rd Ste 2, Spokane Valley, WA 99206 | 2019-01-16 |
| 1851880934 | Ryan Bushman | Dentist | 919 N Pines Rd, Spokane Valley, WA 99206 | 2018-05-04 |
| 1902307531 | Lois Jensen | Counselor | 3507 S. Spotted Rd., Spokane, WA 99206 | 2018-02-28 |
| 1295258804 | Melissa Ann Reamer | Speech-Language Pathologist | 2510 N. Pines Rd., Ste. 3, Spokane Valley, WA 99206 | 2017-07-25 |
| 1730619149 | Amanda Kathryn Fuchs | Counselor | 200 N Mullan Rd Ste 219, Spokane Valley, WA 99206 | 2017-06-18 |
| 1588105308 | Pine Ridge Management Wa LLC | Assisted Living Facility | 5615 West Umatilla, Spokane, WA 99206 | 2017-03-13 |
| 1427405893 | Sarah Winn | Counselor | 721 N Pines, Spokane Valley, WA 99206 | 2016-05-16 |
| 1134573199 | Elzbieta H Anderson | Acupuncturist | 210 N University Rd Ste 200, Spokane Valley, WA 99206 | 2016-04-15 |
| Find all providers in zip 99206 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144262247 | Dru Louis Rodriguez | Podiatrist | 1333 W Francis Ave, Spokane, WA 99205-6730 | 2006-06-12 |
| 1982693768 | Irvin G Engen | Podiatrist | 5901 N Mayfair St, Suite 202, Spokane, WA 99208-1121 | 2005-10-14 |
| 1528129798 | Thomasin K Hammer | Podiatrist | 526 N Mullan Rd, Ste B, Spokane, WA 99206-3853 | 2006-12-12 |
| 1164583332 | Nicholas J Tanner | Podiatrist | 526 N Mullan Rd, Ste B, Spokane, WA 99206-3853 | 2006-12-12 |
| 1962563130 | Douglas K Monson | Podiatrist | 526 N Mullan Rd, Ste B, Spokane, WA 99206-3853 | 2006-12-12 |
| 1710062849 | Greg R Brockbank | Podiatrist | 123 W Francis, Spokane, WA 99205 | 2006-10-26 |
| 1275618381 | Douglas P Romney | Podiatrist | 123 W Francis, Spokane, WA 99205 | 2006-10-26 |
| 1699850727 | James J Porter | Podiatrist | 123 W Francis, Spokane, WA 99205 | 2006-10-26 |
| 1659337111 | Borys E Markewych | Podiatrist | 3707 S Grand Blvd, Suite A, Spokane, WA 99203-2712 | 2006-04-25 |
| 1558353433 | Richard A Frost | Podiatrist | 400 E 5th Ave, Spokane, WA 99202-1334 | 2005-08-17 |
| Find all providers in SPOKANE | ||||
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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.