KIM JACOBS (NPI# 1093364218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093364218 |
| Entity Type | Individual |
| Full Name | KIM JACOBS |
| Credential | RDN |
| Practice Address |
2020 Canterbury Drive Hays KS 67601 |
| Mailing Address |
27314 Plainview Dr Kiowa CO 80117-8827 |
| Practice Telephone | 7856235176 |
| Mailing Telephone | 7204800387 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86032961 | KS | Dietary & Nutritional Service Providers |
| Street Address |
2020 CANTERBURY DRIVE |
| City | HAYS |
| State | KS |
| Zip Code | 67601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326696857 | David Shawn Lawson | Day Training/Habilitation Specialist | 2412 Centennial Blvd, Hays, KS 67601 | 2019-08-28 |
| 1700366085 | Teresea L Bennett | Counselor | 2501 E 13th, Building 3 Suite 10, Hays, KS 67601 | 2018-08-16 |
| 1174050785 | Meredith Lee Lewallen | Nurse Practitioner | 600 Park St # Ll045mu, Hays, KS 67601 | 2017-05-12 |
| 1447667175 | Dustin Smith | Pharmacist | 517 W 27th St., Hays, KS 67601 | 2014-07-15 |
| 1174968119 | The Evangelical Lutheran Good Samaritan Society | Clinic/Center | 220 E 8th St, Hays, KS 67601 | 2013-05-03 |
| 1417244401 | Charles Brandten Brooks | Dentist | 105 West 13th, Hays, KS 67601 | 2011-06-29 |
| 1750686697 | Jeffrey Hughwayne Lowe | Dentist | 2701 Sternberg Drive, Hays, KS 67601 | 2011-01-25 |
| 1659685758 | Cornerstone Orthodontics | Clinic/Center | 2707 Vine St., Suite 5, Hays, KS 67601 | 2010-07-30 |
| 1063748515 | Physical Therapy & Spine Rehab, LLC | Physical Therapist | 1220 E 27th St, Hays, KS 67601 | 2009-10-19 |
| 1861727141 | Jannalynn Marie Brooks | Physical Therapist | 1220 East 27th St, Hays, KS 67601 | 2009-10-05 |
| Find all providers in zip 67601 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548882616 | Isabella Irene Skolout | Dietitian, Registered | 2220 Canterbury Dr, Hays, KS 67601-2370 | 2020-05-12 |
| 1922655737 | Jessica M Stoecklein | Dietitian, Registered | 2220 Canterbury Dr, Hays, KS 67601-2370 | 2019-08-26 |
| 1154975084 | Andrea Marie Harmoney | Dietitian, Registered | 2220 Canterbury Dr, Hays, KS 67601-2370 | 2019-07-29 |
| 1558836965 | Dayna Marie Kriley | Dietitian, Registered | 2220 Canterbury Dr, Hays, KS 67601-2370 | 2018-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776422 | Michele Keethler | Dietitian, Registered | 1842 N Columbine, Andover, KS 67002-8113 | 2020-09-25 |
| 1609480284 | Carolyn Schmidt | Dietitian, Registered | 11433 Cody St, Overland Park, KS 66210-3497 | 2020-09-01 |
| 1114531944 | Ellen Marie Carp | Dietitian, Registered | 2728 N Hoover Rd, Wichita, KS 67205-1031 | 2020-08-31 |
| 1447863287 | Caroline Vogel Finnell | Dietitian, Registered | 9030 W 64th Pl Apt 202, Merriam, KS 66202-4706 | 2020-08-30 |
| 1750991238 | Tyler Downs | Dietitian, Registered | 1542 N Mesa St, Wichita, KS 67212-1237 | 2020-08-09 |
| 1790395424 | Amanda Brown | Dietitian, Registered | 14104 Mohawk Rd, Leawood, KS 66224-1123 | 2020-08-06 |
| 1679181176 | Susan N Lukwago | Dietitian, Registered | 1330 N Cain Ave, Liberal, KS 67901-2317 | 2020-07-21 |
| 1356960256 | Emily Lincicome | Dietitian, Registered | 1056 N Porter Ave, Wichita, KS 67203-3023 | 2020-04-10 |
| 1285263632 | Victoria Lauren Wassner | Dietitian, Registered | 16000 Granada St Apt 210, Overland Park, KS 66085-8459 | 2020-04-07 |
| 1194353128 | Claudia Martin-ayoade | Dietitian, Registered | 13710 W 120th St, Olathe, KS 66062-5689 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
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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.