DIANA LYNN JACOBSON (NPI# 1386610822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386610822 |
| Entity Type | Individual |
| Full Name | DIANA LYNN JACOBSON |
| Credential | R.N.,C.P.N.P. |
| Practice Address |
2152 S Vineyard Suite 129 Mesa AZ 85210-6871 |
| Practice Telephone | 4807320044 |
| Practice Fax Number | 4807329333 |
| Mailing Telephone | 4807320044 |
| Mailing Fax Number | 4807329333 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2008-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R.N.042819 PNP12 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 431528 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770652596 | Diana J Jacobson | Social Worker | 50 Piermont Ave, Nyack, NY 10960 | 2006-11-07 |
| 1235384892 | Diana Rae Jacobson | Counselor | 1501 N 12th St, Bismarck, ND 58501-2713 | 2008-11-24 |
| Street Address |
2152 S VINEYARD SUITE 129 |
| City | MESA |
| State | AZ |
| Zip Code | 85210-6871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689647547 | Vijay S Gill | Internal Medicine | 2152 S Vineyard, Suite 119, Mesa, AZ 85210-6871 | 2006-02-10 |
| 1295342061 | Resolve Counseling and Wellness, Pllc | Counselor | 2152 S Vineyard, Bldg #4, Suite 110, Mesa, AZ 85210 | 2020-09-25 |
| 1801333687 | Sherri Hicks | Social Worker | 2152 S Vineyard, Ste. 110, Mesa, AZ 85210-6881 | 2017-01-31 |
| 1972988939 | Christi N Gorman | Counselor | 2152 S Vineyard, Suite 131, Mesa, AZ 85210-6871 | 2015-07-20 |
| 1346632940 | Kelli A Watkins | Massage Therapist | 2152 S Vineyard, Suite 138, Mesa, AZ 85210-6871 | 2015-02-19 |
| 1407248008 | Shela C Yu | Massage Therapist | 2152 S Vineyard, Suite 138, Mesa, AZ 85210-6871 | 2015-02-19 |
| 1619371424 | Mary Petrini | Massage Therapist | 2152 S Vineyard, Mesa, AZ 85210-6871 | 2014-10-22 |
| 1902116460 | Brooke Menzie | Physician Assistant | 2152 S Vineyard, Suite 131, Mesa, AZ 85210-6871 | 2010-10-18 |
| 1467763698 | Arizona Bariatric and Family Medicine Plc | Family Medicine | 2152 S Vineyard, Suite 102, Mesa, AZ 85210-6871 | 2010-06-22 |
| 1164608550 | Stephen A. Bair, Do PC | Family Medicine | 2152 S Vineyard, #131, Mesa, AZ 85210-6871 | 2008-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134613607 | Brittany Kunz | Nurse Practitioner | 2456 E Fairview Cir, Mesa, AZ 85204-5421 | 2018-06-19 |
| 1124526884 | Kidnurse, LLC | Nurse Practitioner | 1550 S Alma School Rd Ste 275, Mesa, AZ 85210-2107 | 2018-01-29 |
| 1184164808 | Loriann Rochelle Lang | Nurse Practitioner | 1450 S Dobson Rd Ste B220, Mesa, AZ 85202-4745 | 2017-02-28 |
| 1548568892 | Natalie Christine Monk | Nurse Practitioner | 1440 S Country Club Dr Ste 21, Mesa, AZ 85210-9704 | 2011-03-10 |
| 1427250232 | Cindy C Gaspar-rust | Nurse Practitioner | 2953 E Dover St, Mesa, AZ 85213-6934 | 2007-06-04 |
| 1730302753 | Deborah D Howard | Nurse Practitioner | 4540 E Baseline Rd Ste 108, Mesa, AZ 85206-4616 | 2007-04-10 |
| 1245375955 | Angela J Cabrera | Nurse Practitioner | 1432 S Dobson Rd Ste 403, Mesa, AZ 85202-4777 | 2007-02-20 |
| 1598256737 | Sapna R Kakwani | Nurse Practitioner | 1432 S Dobson Rd Ste 403, Mesa, AZ 85202-4777 | 2018-05-23 |
| 1114349784 | Breanna Chamoff | Nurse Practitioner | 1432 S Dobson Rd, Suite 501, Mesa, AZ 85202-4768 | 2014-01-15 |
| 1326472150 | Lindsey Nicole Weak | Nurse Practitioner | 1432 S Dobson Rd, Suite 403, Mesa, AZ 85202-4768 | 2013-08-28 |
| Find all providers in MESA | ||||
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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.