TAMARA LYNN JAKUBOWSKI (NPI# 1376543827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376543827 |
| Entity Type | Individual |
| Full Name | TAMARA LYNN JAKUBOWSKI |
| Credential | C.P.N.P. |
| Practice Address |
207 Lakeside Drive Southampton Pediatrics Southampton PA 18966 |
| Mailing Address |
2163 Brookshire Rd Furlong PA 18925-1253 |
| Practice Telephone | 2159531020 |
| Mailing Telephone | 2157947817 |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2010-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP002054-D | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
207 LAKESIDE DRIVE SOUTHAMPTON PEDIATRICS |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639193808 | Marcia M Klein | Specialist | 207 Lakeside Drive, Southampton, PA 18966 | 2006-07-27 |
| 1972527703 | Michael E Clark | Specialist | 207 Lakeside Drive, Southampton, PA 18966 | 2006-07-26 |
| 1669496741 | Craig R Lem | Specialist | 207 Lakeside Drive, Southampton, PA 18966 | 2006-07-26 |
| 1437173523 | Southampton Pediatrics | Specialist | 207 Lakeside Drive, Southampton, PA 18966 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283613 | Harriet L. Hellman | Nurse Practitioner | 365 County Road 39a Unit 14, Southampton, NY 11968-5243 | 2005-05-24 |
| 1447371307 | Donna Ceil Vallone | Nurse Practitioner | 365 County Road 39a, Suite14, Southampton, NY 11968-5284 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584404 | Elizabeth Perry Hayes | Nurse Practitioner | 837 Wilder St, Philadelphia, PA 19147-5713 | 2020-10-06 |
| 1013523133 | Hollis Hartman Stewart | Nurse Practitioner | 4 Foxwood Dr, Pittsburgh, PA 15238-2106 | 2020-09-23 |
| 1639784713 | Danzeleen Motil Mascaro | Nurse Practitioner | 503 Natalie Ln, Norristown, PA 19401-3111 | 2020-09-15 |
| 1952913527 | Lindsey Baranik | Nurse Practitioner | 711 Lawn Ave Ste 5, Sellersville, PA 18960-1583 | 2020-08-17 |
| 1952919771 | Caitlin Wetzler | Nurse Practitioner | 2028 Rittenhouse Sq Apt 103, Philadelphia, PA 19103-5621 | 2020-07-17 |
| 1871130120 | Alexandria Gustin | Nurse Practitioner | 500 Universisity Drive, Hershey, PA 17033-0858 | 2019-12-05 |
| 1013476134 | Victoria Nicole Hudson | Nurse Practitioner | 7056 Germantown Ave Ste 102, Philadelphia, PA 19119-1826 | 2019-03-18 |
| 1033674247 | Priscilla Korto A Tyler | Nurse Practitioner | 2509 Grove Ln, Trevose, PA 19053-6755 | 2019-02-01 |
| 1386108629 | Alison Leigh Kelley | Nurse Practitioner | 440 E Marshall St Fl 3, West Chester, PA 19380-5414 | 2019-01-30 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
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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.