SHALLECE JACOBS (NPI# 1104328897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104328897 |
| Entity Type | Individual |
| Full Name | SHALLECE JACOBS |
| Practice Address |
419 N 11th St Boise ID 83702-5332 |
| Mailing Address |
1177 W State St Boise ID 83702-5346 |
| Practice Telephone | 2083445502 |
| Practice Fax Number | 8889654924 |
| Mailing Telephone | 2083445501 |
| Mailing Fax Number | 8889654924 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
419 N 11TH ST |
| City | BOISE |
| State | ID |
| Zip Code | 83702-5332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1770115834 | Brittney Suzanne Mccuistion | Registered Nurse | 419 N 11th St, Boise, ID 83702-5332 | 2020-02-06 |
| 1619520517 | Thomas Luciano Tolman | Health Educator | 419 N 11th St, Boise, ID 83702-5332 | 2019-07-19 |
| 1043772619 | Maria Daisy Torres | Health Educator | 419 N 11th St, Boise, ID 83702-5332 | 2019-04-03 |
| 1750846259 | Jennifer Dale Jensen | Health Educator | 419 N 11th St, Boise, ID 83702-5332 | 2019-02-08 |
| 1457823619 | Megan Johnson | Health Educator | 419 N 11th St, Boise, ID 83702-5332 | 2018-12-27 |
| 1437652377 | Elizabeth Borger | Health Educator | 419 N 11th St, Boise, ID 83702-5332 | 2018-03-16 |
| 1841793585 | Mary Katherine Biddle-newberry | Health Educator | 419 N 11th St, Boise, ID 83702-5332 | 2018-03-08 |
| 1447752282 | Cari Schauer | Health Educator | 419 N 11th St, Boise, ID 83702-5332 | 2018-03-07 |
| 1659872323 | Kara Federonick | Health Educator | 419 N 11th St, Boise, ID 83702-5332 | 2018-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| 1518311679 | Samantha Hersrud | Internal Medicine | 500 W Fort St 111r, Internal Medicine Residency, Boise, ID 83702 | 2016-04-14 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1902268527 | Marni Marie Henderson | Health Educator | 6393 S Red Shine Way, Boise, ID 83709-6509 | 2016-03-23 |
| 1568737112 | Rhiannon Avery | Health Educator | 1529 Belmont Street, Boise, ID 83706 | 2012-03-15 |
| 1912231473 | Marie A Bigelow | Health Educator | 1828 S Crimson Rose Ave, Boise, ID 83709-8229 | 2009-09-30 |
| 1619520517 | Thomas Luciano Tolman | Health Educator | 419 N 11th St, Boise, ID 83702-5332 | 2019-07-19 |
| 1043772619 | Maria Daisy Torres | Health Educator | 419 N 11th St, Boise, ID 83702-5332 | 2019-04-03 |
| 1750846259 | Jennifer Dale Jensen | Health Educator | 419 N 11th St, Boise, ID 83702-5332 | 2019-02-08 |
| 1457823619 | Megan Johnson | Health Educator | 419 N 11th St, Boise, ID 83702-5332 | 2018-12-27 |
| 1437652377 | Elizabeth Borger | Health Educator | 419 N 11th St, Boise, ID 83702-5332 | 2018-03-16 |
| 1841793585 | Mary Katherine Biddle-newberry | Health Educator | 419 N 11th St, Boise, ID 83702-5332 | 2018-03-08 |
| Find all providers in BOISE | ||||
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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.