LAURA ANN JACOB (NPI# 1144427857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144427857 |
| Entity Type | Individual |
| Full Name | LAURA ANN JACOB |
| Credential | R.D. |
| Practice Address |
1801 W Windsor Rd Champaign IL 61822-6217 |
| Mailing Address |
101 W University Ave Champaign IL 61820-3981 |
| Practice Telephone | 2173668144 |
| Mailing Telephone | 2173668130 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164.004493 | IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376182501 | Laura L Jacob | Dental Hygienist | 2795 E Maplewood Ave, Centennial, CO 80121-2869 | 2020-01-06 |
| Street Address |
1801 W WINDSOR RD |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720016686 | Robert B Johnston | Emergency Medicine | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2006-06-29 |
| 1750876405 | Sarah Crowgey Gillon | Nurse Practitioner | 1801 W Windsor Rd, Champaign, IL 61822 | 2018-06-26 |
| 1003304064 | Jennifer Lynn Laubscher | Nurse Practitioner | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2018-04-25 |
| 1881117091 | Sana Grover | Internal Medicine | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2017-07-19 |
| 1215479654 | Jennifer Ingold | Nurse Practitioner | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2016-11-16 |
| 1962851519 | Abeer Arain | Internal Medicine | 1801 W Windsor Rd, Christie Clinic, Champaign, IL 61822-6217 | 2016-06-05 |
| 1447608534 | Fariha Arif Khatri | Internal Medicine | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2016-05-30 |
| 1528440757 | Swathi Chalasani | Internal Medicine | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2015-06-24 |
| 1861870099 | Whitney Gutierrez | Pediatrics | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2015-05-07 |
| 1326435074 | Laura L Edwards | Pediatrics | 1801 W Windsor Rd, Champaign, IL 61822-6217 | 2015-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| 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 |
|---|---|---|---|---|
| 1073127395 | Kimberly Spirek | Dietitian, Registered | 310 E Springfield Ave Apt 1208, Champaign, IL 61820-4945 | 2020-09-03 |
| 1225662737 | Anna Crawford | Dietitian, Registered | 44 E Main St Ste 406, Champaign, IL 61820-3649 | 2020-02-24 |
| 1316459001 | Dua Aldasouqi | Dietitian, Registered | 618 Corey Ln, Champaign, IL 61822-1047 | 2017-11-02 |
| 1528444981 | Sondra Clarkson | Dietitian, Registered | 2304 Joseph St, Champaign, IL 61822-3637 | 2015-08-07 |
| 1902355183 | Leia Flure | Dietitian, Registered | 1701 Curtis Rd, Champaign, IL 61822-9678 | 2016-09-28 |
| 1790144350 | Judy Webber | Dietitian, Registered | 1813 W Kirby Ave, Ste 120, Champaign, IL 61821-5410 | 2016-02-11 |
| 1942605308 | Chelsea Burkart | Dietitian, Registered | 1402 S 1st St, Memorial Stadium Training Room, Champaign, IL 61820-6916 | 2014-10-28 |
| 1750703401 | Robin R Allen | Dietitian, Registered | 2906 Crossing Ct, Champaign, IL 61822-6163 | 2014-01-15 |
| 1629389515 | Michaela Ann Kruse | Dietitian, Registered | 2906 Crossing Ct, Champaign, IL 61822-6163 | 2010-06-25 |
| 1205065034 | Maryjean Mccallister | Dietitian, Registered | 1813 W Kirby Ave, Champaign, IL 61821-5410 | 2009-07-14 |
| Find all providers in CHAMPAIGN | ||||
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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.