Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336418623 Individual Practitioner Female Practitioner

Jacqueline Rochelle Poulos , NMD

Naturopath • Prescott, AZ

Professional Overview & Biography Verified Profile Summary

Jacqueline Poulos, NMD is a registered healthcare professional specializing in Naturopath in Prescott, AZ. Practice services are available at 211 GROVE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

211 Grove Ave

Prescott, AZ 863012911

Telephone 9287741332
Fax 9287740042

Specialty Benchmarks & Practice Insights

Comparative analytics for Naturopath in Prescott, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
26 Specialists

Practicing in Prescott, AZ (1148 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-05
Naturopath Primary Specialty

NUCC Taxonomy Code: 175F00000X

State License AZ 11-1272

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Elaine Hodge , EdD

Psychologist - Clinical

NPI 1730119942

Doctor of Education (Ed.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 05, 2025

Registered at 211 GROVE AVE, PRESCOTT, AZ 863012911 (Tel: 9287741332)

📍
Updated Business Mailing Address October 05, 2025

Registered at 211 GROVE AVE, PRESCOTT, AZ 863012911 (Tel: 9287741332)

NPI Profile Active December 04, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2015

Registered at 1100 N SAN FRANCISCO ST, SUITE A, FLAGSTAFF, AZ 860013260 (Tel: 9287741332)

📍
Updated Business Mailing Address December 04, 2015

Registered at 1100 N SAN FRANCISCO ST, SUITE A, FLAGSTAFF, AZ 860013260 (Tel: 9287741332)

👤
Provider Name / Credentials Updated December 04, 2015

Recorded as JACQUELINE POULOS, N.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2015

Naturopath (License #11-1272 in AZ)

🟢
Initial NPI Registration & Enumeration December 15, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336418623
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2011
Last Update: October 05, 2025
Sole Proprietor: Yes

Mailing Address

211 Grove Ave

Prescott, AZ 863012911

Phone: 9287741332

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.