CAROL ILMA JACOBS (NPI# 1255354064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255354064 |
| Entity Type | Individual |
| Full Name | CAROL ILMA JACOBS |
| Credential | NP |
| Practice Address |
1205 North Ave Cleveland WI 53015-1413 |
| Mailing Address |
1274 Meadowbrook Drive Cleveland WI 53015 |
| Practice Telephone | 9206935600 |
| Practice Fax Number | 9206935604 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
137 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023372075 | Carol P Jacobs | Specialist | 55 Spring Hill Ter, Chestnut Ridge, NY 10977-7023 | 2012-06-25 |
| 1548488646 | Carol Ann Jacobs | Counselor | 127 Thompson St, Ashland, VA 23005-1511 | 2007-04-23 |
| 1225486822 | Carol Jacobs | Physical Therapist | 4533 Brambleton Ave, Roanoke, VA 24018-3436 | 2016-05-25 |
| 1548369309 | Carol L Jacobs | Pediatrics | 400 Ogletree Dr, Livingston, TX 77351-6783 | 2006-09-21 |
| 1588620843 | Carol K Jacobs | Nurse Practitioner | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2006-04-25 |
| Street Address |
1205 NORTH AVE |
| City | CLEVELAND |
| State | WI |
| Zip Code | 53015-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760807259 | Nathan Nitka | Dietitian, Registered | 1205 North Ave, Cleveland, WI 53015-1413 | 2014-02-20 |
| 1295060275 | Tao Lee | Nurse Practitioner | 1205 North Ave, Cleveland, WI 53015-1413 | 2009-10-08 |
| 1184860124 | Carrie Lynne Oakley | Registered Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2008-12-22 |
| 1841496486 | Charlene Mae Baumgartner | Registered Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2007-06-21 |
| 1013010024 | Amy Sue Mckenzie | Counselor | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-09-06 |
| 1154337558 | Cleveland Va Cboc | Clinic/Center | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-31 |
| 1417961590 | Jamie Lauren Olsen | Dietitian, Registered | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-27 |
| 1174537245 | Sue E. Thobaben | Registered Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-27 |
| 1881614683 | Agnes E Deehr | Licensed Practical Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-21 |
| 1891715884 | Michael James Sheridan | Registered Nurse | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942392428 | Gary J Kunz | Nurse Practitioner | 1205 North Avenue, Cleveland, WI 53015 | 2006-09-29 |
| 1437611159 | Tss Equipment Company | Technician, Other | 14302 Pigeon River Rd, Cleveland, WI 53015-1158 | 2019-04-02 |
| 1023275013 | Lakeshore Community Dental Clinic | Clinic/Center | 1290 North Ave, Lakeshore Community Dental Clinic, Cleveland, WI 53015-1412 | 2008-05-19 |
| 1114290384 | Michelle Ann Hemb | Licensed Practical Nurse | 1345 W Washington Ave, Cleveland, WI 53015-1430 | 2012-02-17 |
| 1730653783 | Miranda Jost | Registered Nurse | N9548 Highway 42, Cleveland, WI 53015-1628 | 2019-01-13 |
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694153 | Laraine Elizabeth Tench | Nurse Practitioner | 9500 Euclid Ave # G110, Cleveland, OH 44195-0001 | 2020-06-20 |
| 1124578349 | Nancy Kempke | Nurse Practitioner | 9500 Euclid Ave Fa20, Cleveland, OH 44195 | 2016-10-12 |
| 1356708911 | Anne Debra Feldman | Nurse Practitioner | 9500 Euclid Ave # A31, Cleveland, OH 44195-0001 | 2016-01-26 |
| 1194131417 | Stephanie S Daniels | Nurse Practitioner | 1730 W 25th Street, Cleveland, OH 44113-3108 | 2014-07-08 |
| 1073954103 | Jessica Lauren Orleman | Nurse Practitioner | Cleveland Clinic Desk A90, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2013-07-17 |
| 1366784902 | Deneen M Abston | Nurse Practitioner | 9500 Euclid Ave # Desku10, Cleveland, OH 44195-0001 | 2013-03-21 |
| 1467793778 | Teresa M Evans-guyton | Nurse Practitioner | 11201 Shaker Blvd Ste 240, Cleveland, OH 44104 | 2013-03-12 |
| 1174872543 | Sarah Ann Blowers | Nurse Practitioner | 17876 St. Clair Avenue, Cleveland, OH 44110 | 2012-08-31 |
| 1609121045 | Bridgett Ann Harr | Nurse Practitioner | 9500 Euclid Ave # T28, Cleveland, OH 44195-0001 | 2012-07-23 |
| 1093071458 | Josephina Puskas | Nurse Practitioner | 2050 East 96 Th Street, Cleveland, OH 44195 | 2012-04-10 |
| Find all providers in CLEVELAND | ||||
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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.