MRS. SHANNON JACOBS (NPI# 1265909469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265909469 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON JACOBS |
| Credential | FNP-C |
| Practice Address |
1483 W Main St Tipp City OH 45371-2803 |
| Practice Telephone | 9376677711 |
| Mailing Telephone | 9376677711 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
023861 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134674062 | Shannon Nicole Jacobs | Pharmacist | 3700 Owen Rd, Fenton, MI 48430-9193 | 2016-08-21 |
| 1427477991 | Shannon Jacobs | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2014-04-14 |
| 1194017533 | Shannon Jacobs | Marriage & Family Therapist | 1163 Boston Post Rd, Westbrook, CT 06498-1947 | 2011-05-04 |
| Street Address |
1483 W MAIN ST |
| City | TIPP CITY |
| State | OH |
| Zip Code | 45371-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649365032 | Kathryn Lorraine Dearing | Pediatrics | 1483 W Main St, Tipp City, OH 45371-2803 | 2006-10-03 |
| 1568075349 | Destiny Heindl | Social Worker | 1483 W Main St, Tipp City, OH 45371-2803 | 2020-08-31 |
| 1235751009 | Rebekah Berbach | Psychologist | 1483 W Main St, Tipp City, OH 45371-2803 | 2020-05-14 |
| 1417512476 | Ashley Nichole Riancho | Counselor | 1483 W Main St, Tipp City, OH 45371-2803 | 2019-05-06 |
| 1790150621 | Lynsie Ann O'dell | Nurse Practitioner | 1483 W Main St, Tipp City, OH 45371-2803 | 2015-12-03 |
| 1568850295 | Whitney M Holmes | Nurse Practitioner | 1483 W Main St, Tipp City, OH 45371-2803 | 2015-01-05 |
| 1508166109 | Rochelle Kathryn Watkins | Nurse Practitioner | 1483 W Main St, Tipp City, OH 45371-2803 | 2010-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245619857 | April Taylor | Registered Nurse | 555 North Hyatt St, Tipp City, OH 45371 | 2015-05-28 |
| 1861886285 | Victoria Lyn Kaesler | Social Worker | 90 South Tippecanoe Drive, Tipp City, OH 45371 | 2015-03-24 |
| 1205252921 | Kathleen Phillips | Massage Therapist | 5850 County Rd., Tipp City, OH 45371 | 2014-03-06 |
| 1386088003 | Hocks Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5175 S County Road 25a, Tipp City, OH 45371 | 2013-04-24 |
| 1073897245 | Richard Tebbe | Licensed Practical Nurse | 7600 South Newbury Rd., Tipp City, OH 45371 | 2011-10-05 |
| 1740507888 | Jessica A Rizzotte | Nurse Practitioner | 1483 W. Main St, Tipp City, OH 45371 | 2010-04-29 |
| 1033219365 | Kevin A. Horvath | Pediatrics | 1483 West Main Street, Tipp City, OH 45371 | 2006-09-25 |
| 1962519561 | Far Oaks Orthopedists | Orthopaedic Surgery | 450 North Hyatt, Suite 306, Tipp City, OH 45371 | 2006-08-23 |
| 1205844263 | Frederick Mark Sacks | Psychologist | 1485 Commerce Park Drive, Tipp City, OH 45371 | 2006-08-04 |
| 1891847323 | Nancy C Carner | Social Worker | 1440 W Main St, Tipp City, OH 45371 | 2007-01-17 |
| Find all providers in zip 45371 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235500646 | Sara Marietta | Nurse Practitioner | 450 N Hyatt St Ste 202, Tipp City, OH 45371-1433 | 2015-10-12 |
| 1366050825 | Janice Michelle Rees | Nurse Practitioner | 914 W Main St, Tipp City, OH 45371-1337 | 2020-07-21 |
| 1801272869 | Alyssa Ancipink | Nurse Practitioner | 914 W Main St, Tipp City, OH 45371-1337 | 2015-07-31 |
| 1962804716 | Genessa Lynn Merritt | Nurse Practitioner | 914 W Main St, Tipp City, OH 45371-1337 | 2014-09-24 |
| 1639589773 | Kimberly La'dawn Watson | Nurse Practitioner | 914 W Main St, Tipp City, OH 45371-1337 | 2014-04-29 |
| 1821353525 | Patricia A Kruse | Nurse Practitioner | 914 W Main St, Tipp City, OH 45371-1337 | 2012-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184681 | Madison Baxter | Nurse Practitioner | 2730 Hyde Park Ave, Cincinnati, OH 45209-2004 | 2020-11-06 |
| 1932700937 | Caroline V Murrey | Nurse Practitioner | 109 Ratcliff Ln, Plain City, OH 43064-8662 | 2020-11-05 |
| 1134720154 | Anthonia Ndali Chukwudelunzu | Nurse Practitioner | 20 Rocky Top Ct, Maple Heights, OH 44137-4760 | 2020-11-05 |
| 1275134801 | Abram James Basinger | Nurse Practitioner | 3956 Sparkhill Dr, Enon, OH 45323-1436 | 2020-11-02 |
| 1780284091 | Tana Darniece Williams | Nurse Practitioner | 513 Harris Rd, Richmond Heights, OH 44143-2539 | 2020-10-27 |
| 1174123335 | Heidi Archer | Nurse Practitioner | 52003 Peck Wadsworth Rd, Wellington, OH 44090-9725 | 2020-10-27 |
| 1114526662 | Angelina Fiszlewicz | Nurse Practitioner | 69 Bayberry Ln, Monroe, OH 45050-2521 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1538768445 | Ashley Nicole Morgan | Nurse Practitioner | 15099 State Route 170, East Liverpool, OH 43920-9598 | 2020-10-21 |
| 1881293082 | Sommer Saddler | Nurse Practitioner | 2120 Hampstead Rd, Cleveland Heights, OH 44118-2509 | 2020-10-20 |
| 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.