SANDRA J JACOBS (NPI# 1396718599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396718599 |
| Entity Type | Individual |
| Full Name | SANDRA J JACOBS |
| Credential | CRNA |
| Practice Address |
1600 N Main Ave Lovington NM 88260-2830 |
| Mailing Address |
7711 Ne 175th St Apt A302 Kenmore WA 98028-3567 |
| Practice Telephone | 5753966611 |
| Practice Fax Number | 5753961454 |
| Mailing Telephone | 4252745046 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2014-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | CRNA00524 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | AP30004485 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9612078 | 05 | |
| WA | INDIVIDUAL BLUE SHIELD | 2701JA | 01 |
| 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 |
| 1316398779 | Sandra Jacobs | Counselor | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2016-06-28 |
| 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 |
| 1215924956 | Sandra Jacobs | Nurse Practitioner | 555 S 18th St, Columbus, OH 43205-2696 | 2005-09-27 |
| Street Address |
1600 N MAIN AVE |
| City | LOVINGTON |
| State | NM |
| Zip Code | 88260-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114924008 | Shannon Michelle Allen | Nurse Anesthetist, Certified Registered | 1600 N Main Ave, Lovington, NM 88260 | 2005-07-07 |
| 1811503303 | Megan Deanne Chavarria | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2871 | 2020-09-20 |
| 1518587948 | Mary Victoria Cansino | Speech-Language Pathologist | 1600 N Main Ave, Lovington, NM 88260-2813 | 2020-04-27 |
| 1902449820 | Francisco Alonzo Espino | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2830 | 2019-10-23 |
| 1306303326 | Zarah Mae Cortez | Physical Therapist | 1600 N Main Ave, Lovington, NM 88260-2830 | 2019-02-26 |
| 1285136119 | Lugene M Twiggs | Social Worker | 1600 N Main Ave, Lovington, NM 88260-2830 | 2018-03-07 |
| 1437650934 | Sandra Lizet Orozco | Physician Assistant | 1600 N Main Ave, Lovington, NM 88260-2830 | 2018-02-21 |
| 1457865677 | Matthew Bruns Berilla | Physician Assistant | 1600 N Main Ave, Lovington, NM 88260 | 2017-11-27 |
| 1841714300 | Brandi Lynnette Tedder | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2830 | 2017-07-26 |
| 1255882718 | Jacqueline Marinovich | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2830 | 2016-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761034 | Debra Mauldin | Registered Nurse | 18 West Washington, Lovington, NM 88260 | 2018-02-21 |
| 1790283786 | Brenda D'ann Perry | Registered Nurse | 700 W Jefferson, Lovington, NM 88260 | 2018-01-25 |
| 1114433513 | Rebecca Madrid | Registered Nurse | 11 Ano 1000 S Main St, Lovington, NM 88260 | 2017-12-20 |
| 1588177414 | Kimberly Kay Reeder | Registered Nurse | 1400 S. 6th St, Lovington, NM 88260 | 2017-11-14 |
| 1508379439 | Jessica Fitzgerald | Registered Nurse | 1202 W Birch Ave, Lovington, NM 88260 | 2017-11-14 |
| 1245760362 | Dyesebel Morales Solis | Physical Therapist | 1600 N. Main Street, Nor-lea Hospital District, Lovington, NM 88260 | 2017-06-13 |
| 1962949172 | Especializados En Servicios Medicos Quirurgicos Sa De Cv | General Acute Care Hospital | A. Obregon 3256 Col. Jardin, Nuevo Laredo, TAMAULIPAS 88260 | 2017-01-25 |
| 1205386992 | Graciela Urbina | Dentist | O Campo 3147, Nvo Laredo, TAMPS 88260 | 2016-10-06 |
| 1710294913 | Lindsey Anitra Broom | Speech-Language Pathologist | 1300 W. Dogwood, Lovington, NM 88260 | 2010-09-09 |
| 1003129545 | Rosalinda Barraza | Occupational Therapist | 18 W Washington, Lovington, NM 88260 | 2010-07-26 |
| Find all providers in zip 88260 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114924008 | Shannon Michelle Allen | Nurse Anesthetist, Certified Registered | 1600 N Main Ave, Lovington, NM 88260 | 2005-07-07 |
| 1417966821 | James H Mcnair | Nurse Anesthetist, Certified Registered | 1600 North Main, Lovington, NM 88260-2830 | 2006-08-05 |
| 1669409033 | Miguel A Montero | Nurse Anesthetist, Certified Registered | 1600 North Main, Lovington, NM 88260-2813 | 2006-06-28 |
| 1952345399 | Terry Alvin Sumpter | Nurse Anesthetist, Certified Registered | 1600 North Main, Lovington, NM 88260-2813 | 2006-06-16 |
| 1386626323 | Donnie A. Croley | Nurse Anesthetist, Certified Registered | 1600 North Main, Lovington, NM 88260-2830 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235740549 | Catherine Elizabeth Boyle | Nurse Anesthetist, Certified Registered | 555 S Telshor Blvd Ste 100b, Las Cruces, NM 88011-3644 | 2020-08-11 |
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1053958066 | Jessica Quinteros | Nurse Anesthetist, Certified Registered | 555 S Telshor Blvd, Las Cruces, NM 88011-8627 | 2019-12-09 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1285122820 | Manuel Dejesus Zarate Jr. | Nurse Anesthetist, Certified Registered | St. Micheals Dr., Santa Fe, NM 87505 | 2018-04-30 |
| 1164957023 | Rachel Haase Donahue | Nurse Anesthetist, Certified Registered | 1896 Lorca Dr Apt 93, Santa Fe, NM 87505-6010 | 2017-04-27 |
| 1871032912 | Socialite Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 200 W 1st St Ste 530, Roswell, NM 88203-4676 | 2017-02-22 |
| 1649728981 | Paul Koury | Nurse Anesthetist, Certified Registered | 13600 Rebonito Ct Ne, Albuquerque, NM 87112-4929 | 2016-09-15 |
| 1922553460 | Francis Ian C Bicol | Nurse Anesthetist, Certified Registered | 1610 Se Main St, Roswell, NM 88203-5404 | 2016-08-24 |
| 1861878522 | Ryan Ellis | Nurse Anesthetist, Certified Registered | 4511 Barcelona Cir, Farmington, NM 87401-2892 | 2015-08-05 |
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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.