SANDRA JACOBS (NPI# 1316398779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316398779 |
| Entity Type | Individual |
| Full Name | SANDRA JACOBS |
| Practice Address |
700 Coastal Village Dr Brunswick GA 31520-1974 |
| Practice Telephone | 9125548400 |
| Practice Fax Number | 9122652683 |
| Mailing Telephone | 9125548400 |
| Mailing Fax Number | 9122652683 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC002143 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079885 | Sandra Jacobs | Technician | 5384 Corral Ct, Las Vegas, NV 89119-2815 | 2019-08-19 |
| 1720346604 | Sandra E. Jacobs | Marriage & Family Therapist | 3145 Morning Way, La Jolla, CA 92037-1908 | 2012-04-27 |
| 1659672046 | Sandra Lee Jacobs | Physical Therapist | 606 Lake St, Roscommon, MI 48653-7615 | 2010-11-16 |
| 1821698481 | Sandra Espinosa Jacobs | Behavioral Analyst | 1868 Nacogdoches Rd, San Antonio, TX 78209-2216 | 2020-10-31 |
| 1902044886 | Sandra L Jacobs | Nurse Practitioner | 1300 Tiger Blvd, Clemson, SC 29631 | 2009-01-30 |
| 1659547966 | Sandra Lynn Jacobs | Occupational Therapist | 9201 W Watertown Plank Rd, Milwaukee, WI 53226-3558 | 2008-05-06 |
| 1639375207 | Sandra Lee Jacobs | Marriage & Family Therapist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2007-06-21 |
| 1396718599 | Sandra J Jacobs | Nurse Anesthetist, Certified Registered | 1600 N Main Ave, Lovington, NM 88260-2830 | 2006-02-08 |
| 1215924956 | Sandra Jacobs | Nurse Practitioner | 555 S 18th St, Columbus, OH 43205-2696 | 2005-09-27 |
| Street Address |
700 COASTAL VILLAGE DR |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-1974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427237015 | David Scott Deuser | Psychiatry & Neurology | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2007-10-31 |
| 1962009720 | Kimberly Claire Bell | Nurse Practitioner | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2020-10-05 |
| 1225481666 | Emily Reed | Social Worker | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-07-21 |
| 1669825014 | Eboni Robinson | Counselor | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-07-21 |
| 1336591031 | Diane Hall | Counselor | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-07-06 |
| 1851742647 | Chad Carpenter | Registered Nurse | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-06-23 |
| 1477901890 | Jennifer Jackson | Registered Nurse | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-05-26 |
| 1700233129 | Cristi Anderson | Registered Nurse | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-05-16 |
| 1215383179 | Daniel Goss | Registered Nurse | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-05-10 |
| 1053767467 | Chrishonda Brown | Registered Nurse | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611890 | Elizabeth Hanley | Counselor | 6 Federal St Ofc G, Brunswick, ME 04011-1508 | 2020-02-18 |
| 1477070142 | Miranda Jo Villard | Counselor | 1839 Pearl Rd Ste 101, Brunswick, OH 44212-3256 | 2017-08-24 |
| 1730530320 | Guy Peffer | Counselor | 100 Cayman Ct, Brunswick, GA 31525-4526 | 2016-06-25 |
| 1477941201 | Virginia Leigh Shannon | Counselor | 119 Mckeen St, Brunswick, ME 04011-2909 | 2015-01-01 |
| 1861896771 | Elizabeth M Munsey | Counselor | 6 Pond Dr, Brunswick, ME 04011-9469 | 2014-10-21 |
| 1174876668 | Sandra J. Qualey | Counselor | 70 Hennessey Ave, Brunswick, ME 04011-2837 | 2012-10-21 |
| 1952692212 | Debra Vias | Counselor | 45 E F St, Brunswick, MD 21716-1449 | 2011-04-21 |
| 1790081230 | Jane A. Whetstine | Counselor | 103 Harpswell Rd, Brunswick, ME 04011-7842 | 2011-02-01 |
| 1144525098 | Angela Annett Bennett | Counselor | 716 Fancy Bluff Rd, Brunswick, GA 31523-6321 | 2011-01-24 |
| 1538475207 | James M Talbott | Counselor | 76 Pleasant St, Brunswick, ME 04011-2203 | 2010-08-19 |
| Find all providers in BRUNSWICK | ||||
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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.