ALICIA MAY JACOBSON (NPI# 1013553643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013553643 |
| Entity Type | Individual |
| Full Name | ALICIA MAY JACOBSON |
| Other Name | ALICIA JACOBSON |
| Credential | LLPN |
| Practice Address |
1601 E 4th Plain Blvd Bldg 17 Vancouver WA 98661-3717 |
| Mailing Address |
1010 W Mcloughlin Blvd Vancouver WA 98660-2314 |
| Practice Telephone | 3603978246 |
| Mailing Telephone | 3605663254 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 60837151 | WA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922565480 | Alicia Vashti Jacobson | Behavior Technician | 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920-3932 | 2019-02-20 |
| 1477780591 | Alicia Jacobson | Registered Nurse | 345 Camino Del Remedio, Santa Barbara, CA 93110-1332 | 2009-06-16 |
| Street Address |
1601 E 4TH PLAIN BLVD BLDG 17 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922128206 | Erica A Hunt | Counselor | 1601 E 4th Plain Blvd Bldg 17, Ste B222, Vancouver, WA 98661-3717 | 2007-03-30 |
| 1750918090 | Bryan Richards | Licensed Practical Nurse | 1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2020-03-26 |
| 1588201123 | Thomas A Breitenbauch | Social Worker | 1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2019-12-02 |
| 1023652450 | Shelby Fitzgerald | Counselor | 1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2019-10-29 |
| 1194388199 | Angela Ballantyne | Counselor | 1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2019-04-16 |
| 1033682919 | Mariah Spreadborough | Licensed Practical Nurse | 1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2019-01-03 |
| 1477025062 | Dan Leo Minkel I | Counselor | 1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2018-12-20 |
| 1336611177 | Alfred Padilla | Counselor | 1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2018-12-18 |
| 1982187498 | Ethan D Gonzales | Peer Specialist | 1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2018-09-11 |
| 1932681228 | Leah Witherwax | Counselor | 1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2018-09-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
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| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679046783 | Brenda L Evans | Licensed Practical Nurse | 1802 Se 187th Pl, Vancouver, WA 98683-9767 | 2019-01-10 |
| 1588106991 | William James Lehan IIi | Licensed Practical Nurse | 2608 Ne 96th St, Vancouver, WA 98665-5708 | 2016-11-16 |
| 1952697591 | Anzhela Zamedyanskaya | Licensed Practical Nurse | 1101 Ne 122nd Ave, Vancouver, WA 98684-5833 | 2011-06-22 |
| 1235434341 | Brent M Debolt | Licensed Practical Nurse | 2314 E 13th St, Vancouver, WA 98661-4122 | 2011-01-20 |
| 1831402080 | Audrey Quinn Adames | Licensed Practical Nurse | 200 Nw 107th St, Vancouver, WA 98685-5249 | 2010-07-16 |
| 1427276252 | Linda Beth Fowler | Licensed Practical Nurse | 2009 Ne 117th St Ste 101, Vancouver, WA 98686-4022 | 2007-04-24 |
| 1457964645 | Tonya Nicole Farrell | Licensed Practical Nurse | 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2020-08-26 |
| 1417566399 | Edwina Laverne Lyon | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-28 |
| 1770192916 | Leanne D Nething | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-23 |
| 1629686092 | Courtney Leigh Geier | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-21 |
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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.