MATTHEW JACOBSON (NPI# 1003360991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003360991 |
| Entity Type | Individual |
| Full Name | MATTHEW JACOBSON |
| Credential | APRN |
| Practice Address |
108 20th Street Torrington WY 82440-2812 |
| Practice Telephone | 3072690947 |
| Mailing Telephone | 3072690947 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2019-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
25098.1537 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1330 S Lincoln St, Casper, WY 826014349 | 3074219391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992161178 | Matthew Jacobson | Physical Therapist | 788 Prince Ave Ste C, Athens, GA 30606-5912 | 2016-01-04 |
| 1346385507 | Matthew David Jacobson | Internal Medicine | Total Care Physicians, Omega Prof Center, Omega Dr., Building B, Suite 89, Newark, DE 19713 | 2007-02-21 |
| 1952672735 | Matthew Elmo Jacobson | Counselor | 21360 N 1450 E, Moroni, UT 84646-0461 | 2012-01-25 |
| 1285832352 | Matthew Jacobson | Counselor | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2007-07-10 |
| 1285645036 | Matthew Warner Jacobson | Anesthesiology | 1304 Oak St, Melbourne, FL 32901-3111 | 2006-08-10 |
| Street Address |
108 20TH STREET |
| City | TORRINGTON |
| State | WY |
| Zip Code | 82440-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184965196 | Heart Mountain Hearing LLC | Hearing Instrument Specialist | 557 Main St, Ralston, WY 82440 | 2013-03-15 |
| 1124305339 | Christopher D Pelletier | Hearing Instrument Specialist | 557 Main Street, Box 721, Ralston, WY 82440-0721 | 2011-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548290 | Katherine Ducharme Lcsw | Social Worker | 370 High St Apt 3, Torrington, CT 06790-6381 | 2020-11-05 |
| 1730788431 | Michelle Cano | Occupational Therapy Assistant | 65 Commercial Blvd, Torrington, CT 06790-3097 | 2020-10-22 |
| 1922606516 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1280 East Main Street, Torrington, CT 06790 | 2020-10-15 |
| 1508472259 | Jaclyn Marie Vitkovsky | Registered Nurse | 503 New Harwinton Rd, Torrington, CT 06790-5845 | 2020-09-18 |
| 1831703842 | Keystone Place At Newbury Brook, LLC | Assisted Living Facility | 1058 Litchfield St, Torrington, CT 06790-6100 | 2020-09-08 |
| 1396358404 | Rachel Elizabeth Paternoster | Nurse Practitioner | 52 Peck Rd Ste G, Torrington, CT 06790-6107 | 2020-08-28 |
| 1811507510 | Allison M Werning | Counselor | 100 E 27th Ave, Torrington, WY 82240-2006 | 2020-08-06 |
| 1174149462 | Garrett Whittaker | Nurse Practitioner | 133 Longmeadow Dr, Torrington, CT 06790-4170 | 2020-06-22 |
| 1235750902 | Hanah Jay Castellaw | Community/Behavioral Health | 2602 E E St Spc 8, Torrington, WY 82240-2101 | 2020-05-04 |
| 1750901005 | A Better Day Counseling Center LLC | Counselor | 403 New Litchfield St, Torrington, CT 06790-6640 | 2020-04-16 |
| Find all providers in TORRINGTON | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149462 | Garrett Whittaker | Nurse Practitioner | 133 Longmeadow Dr, Torrington, CT 06790-4170 | 2020-06-22 |
| 1700425113 | New England Mind Matters LLC | Nurse Practitioner | 109 Heights Dr, Torrington, CT 06790-4434 | 2020-01-02 |
| 1750934139 | Beth Keller | Nurse Practitioner | 108 E 20th Ave, Torrington, WY 82240-2812 | 2019-07-24 |
| 1518462886 | Sara Benjamin | Nurse Practitioner | 538 Litchfield St Ste G02, Torrington, CT 06790-6669 | 2018-03-28 |
| 1831421221 | Susan Marie Reading-martin | Nurse Practitioner | 7076 Road 55f, Torrington, WY 82240-7771 | 2010-02-09 |
| 1215915061 | Selma L. Hamilton | Nurse Practitioner | 52 Peck Road, Torrington, CT 06790 | 2006-01-03 |
| 1568075539 | Tiffany Lee | Nurse Practitioner | 469 Migeon Ave, Torrington, CT 06790-4643 | 2020-08-28 |
| 1548886187 | Megan Elizabeth Drummey | Nurse Practitioner | 20 Felicity Ln, Torrington, CT 06790-6101 | 2020-06-19 |
| 1245861939 | Charlene Kupernik | Nurse Practitioner | 249 Winsted Rd, Torrington, CT 06790-2958 | 2020-01-31 |
| 1306488762 | Synergy Advanced Healthcare LLC | Nurse Practitioner | 51 Commercial Blvd, Torrington, CT 06790-3097 | 2019-10-16 |
| Find all providers in TORRINGTON | ||||
| City | TORRINGTON |
| Zip Code | 82440 |
Please comment or provide details below to improve the information on MATTHEW JACOBSON.
| 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.