LATHA JACOB (NPI# 1376826503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376826503 |
| Entity Type | Individual |
| Full Name | LATHA JACOB |
| Credential | NP |
| Practice Address |
14131 Midway Road Suite 620 Addison TX 75001-3669 |
| Practice Telephone | 9722490200 |
| Practice Fax Number | 9722490206 |
| Mailing Telephone | 9722490200 |
| Mailing Fax Number | 9722490206 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2013-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WR0400X |
Registered Nurse Specialization: Rehabilitation |
739362 | TX | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 739362 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14131 MIDWAY ROAD SUITE 620 |
| City | ADDISON |
| State | TX |
| Zip Code | 75001-3669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568457968 | Savita R Kurup | Family Medicine | 14131 Midway Road, Suite 620, Addison, TX 75001-3623 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143772 | Naomi Grace Moats | Speech-Language Pathologist | 5820 Addison Rd, Addison, TX 75001 | 2020-01-22 |
| 1669020467 | Us Med, LLC | Durable Medical Equipment & Medical Supplies | 15455 Dallas Parkway, Suite 600; Office #6015, Addision, TX 75001 | 2019-08-27 |
| 1316592215 | Sunny Boy Pharmacy, LLC | Pharmacy | 4388 Sunbelt Dr, Addision, TX 75001 | 2019-08-07 |
| 1538714779 | Tarpon Pllc | Physical Medicine & Rehabilitation | 17051 N. Dallas Parkway, Suite 320, Addison, TX 75001 | 2019-08-05 |
| 1235782251 | Aliah T Green | Speech-Language Pathologist | 15820 Addison Road, Addison, TX 75001 | 2019-07-18 |
| 1902376254 | Kendall Leann Chambers | Counselor | 15851 Dallas Parkway, Suite 600, Addison, TX 75001 | 2018-11-29 |
| 1053800391 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 17051 Dallas Pkwy Ste 310, Addison, TX 75001 | 2018-05-02 |
| 1528561719 | Relinda Lee Longan | Licensed Vocational Nurse | 4820 Westgrove Dr, # 903, Addison, TX 75001 | 2018-03-14 |
| 1306363338 | Margaret Weiss | Social Worker | Steven A Cohen Military Family Clinic At Metrocare, 16160 Midway Rd, Suite 218, Addison, TX 75001 | 2017-08-30 |
| 1508380759 | Dallas Sci Recovery Inc | Clinic/Center | 15046 Beltway Dr, Addison, TX 75001 | 2017-07-31 |
| Find all providers in zip 75001 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598321804 | Maria Remedios Marcelo Billote | Nurse Practitioner | 715 W Lake St Ste 104, Addison, IL 60101-2082 | 2019-05-13 |
| 1720547383 | Joanna Michele Rios | Nurse Practitioner | 303 W Lake St Ste 200, Addison, IL 60101-2500 | 2019-03-13 |
| 1750695375 | Rebecca Elaine Brown | Nurse Practitioner | 13600 Addison Rd, Suite 300, Addison, TX 75001 | 2010-08-06 |
| 1215542014 | Margaret Anne Jones | Nurse Practitioner | 16775 Addison Rd Ste 200, Addison, TX 75001-5654 | 2020-09-09 |
| 1043694896 | Kate Megan Murphy | Nurse Practitioner | 17101 Dallas Pkwy, Addison, TX 75001 | 2015-07-10 |
| 1639268527 | Dezra Ann Fain | Nurse Practitioner | 14131 Midway Rd, Suite 620, Addison, TX 75001-3623 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306245 | Julie Gunnarson | Nurse Practitioner | 435 Tioga St, Burleson, TX 76028-8197 | 2020-11-03 |
| 1033710488 | Angela Renee Aston | Nurse Practitioner | 805 Kelly Creek, Bulverde, TX 78163 | 2020-11-03 |
| 1629678347 | Prime Telecare LLC | Nurse Practitioner | 2251 Bagdad Rd Unit 102, Cedar Park, TX 78613-6521 | 2020-10-30 |
| 1063012508 | Kelsey Jean Reisch | Nurse Practitioner | 5001 Orleans Cir, Rowlett, TX 75088-6175 | 2020-10-26 |
| 1124628557 | Jessica Buchanan | Nurse Practitioner | 212 Sheridan Loop, Belton, TX 76513-8024 | 2020-10-26 |
| 1811596323 | Rachel Christine Jarrell | Nurse Practitioner | 10080 Research Forest Dr, The Woodlands, TX 77354-6780 | 2020-10-26 |
| 1356940837 | Katherine Anna Nack | Nurse Practitioner | 6100 Harris Pkwy Ste 285, Fort Worth, TX 76132-4127 | 2020-10-26 |
| 1558960104 | Suzette Roberts | Nurse Practitioner | 2505 Pebble Lodge Ln, Friendswood, TX 77546-5587 | 2020-10-23 |
| 1982203675 | Ilse Deyanire Trevino | Nurse Practitioner | 6233 Tepepan Dr, Brownsville, TX 78521-7135 | 2020-10-22 |
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 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.