SHELBY LEE JACOBS (NPI# 1447486873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447486873 |
| Entity Type | Individual |
| Full Name | SHELBY LEE JACOBS |
| Credential | LMT |
| Practice Address |
12276 San Jose Blvd Suite 104 Jacksonville FL 32223-8628 |
| Practice Telephone | 9042888311 |
| Practice Fax Number | 9042888371 |
| Mailing Telephone | 9042888311 |
| Mailing Fax Number | 9042888371 |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA55269 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349344 | Shelby Lynn Jacobs | Speech-Language Pathologist | 1501 Inverness Dr, Lawrence, KS 66047-1870 | 2019-10-29 |
| 1649758459 | Shelby Jacobs | Counselor | 16965 Pine Ln Ste 103, Parker, CO 80134-6517 | 2018-08-02 |
| Street Address |
12276 SAN JOSE BLVD SUITE 104 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32223-8628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925922 | Luna I Khadour | Family Medicine | 12276 San Jose Blvd, Suite 401, Jacksonville, FL 32223-8628 | 2005-07-14 |
| 1538773239 | Brenda Eileen Haga | Rehabilitation Practitioner | 12276 San Jose Blvd, Jacksonville, FL 32223-8628 | 2020-09-01 |
| 1073123600 | Catiana Augusme | Behavior Technician | 12276 San Jose Blvd, Jacksonville, FL 32223-8628 | 2020-08-07 |
| 1275066185 | Glenn Allan Turner Jr. | Behavior Technician | 12276 San Jose Blvd, Suite 508, Jacksonville, FL 32223 | 2017-04-07 |
| 1063952547 | Kayleigh Ansteatt | Developmental Therapist | 12276 San Jose Blvd, Suite 508, Jacksonville, FL 32223-8628 | 2017-03-02 |
| 1295279834 | Riyam Dhahir Yaseen | Developmental Therapist | 12276 San Jose Blvd, 508, Jacksonville, FL 32223-8628 | 2016-12-16 |
| 1316496417 | Ari Wallace | Developmental Therapist | 12276 San Jose Blvd, Ste 508, Jacksonville, FL 32223-8628 | 2016-09-29 |
| 1992250492 | Lauren Beth Philbrick | Developmental Therapist | 12276 San Jose Blvd, Jacksonville, FL 32223-8628 | 2016-08-24 |
| 1922553882 | Brandi Marie Higginbotham | Developmental Therapist | 12276 San Jose Blvd, Suite 508, Jacksonville, FL 32223-8628 | 2016-08-22 |
| 1598210346 | Katharine Streets | Developmental Therapist | 12276 San Jose Blvd, Ste 508, Jacksonville, FL 32223-8628 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
| 1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
| 1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
| 1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
| 1740694439 | Robyn K Mizelle | Behavioral Analyst | 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 | 2014-06-20 |
| 1184038010 | Kelli Anne Cabrera | Occupational Therapist | 12350 San Jose Blvd, Jacksonville, FL 32223 | 2014-06-18 |
| 1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
| 1114201811 | Darshana Choksi | Pharmacist | 3663 Marbon Rd, Jacksonville, FL 32223 | 2011-09-30 |
| 1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
| 1740517796 | Beth A. Kelley | Occupational Therapist | 2640 Scott Mill Dr, Jacksonville, FL 32223 | 2009-11-12 |
| Find all providers in zip 32223 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142299 | Undra Williams | Massage Therapist | 5900 Townsend Rd Apt 813, Jacksonville, FL 32244-4579 | 2020-10-21 |
| 1356958771 | Jared Franklin | Massage Therapist | 1540 El Prado Rd Apt 1, Jacksonville, FL 32216-2965 | 2020-09-29 |
| 1043826613 | Eric Gene Thompson | Massage Therapist | 2386 Villanova Cir # Na, Jacksonville, FL 32218-5123 | 2020-09-19 |
| 1720693757 | Cathleen Ann Smith | Massage Therapist | 13051 Gran Bay Pkwy Unit 2321, Jacksonville, FL 32258-6520 | 2020-09-15 |
| 1720693286 | Paul Andrew Hudson | Massage Therapist | 13108 Harborton Dr, Jacksonville, FL 32224-7403 | 2020-09-11 |
| 1063026748 | Sandra Nicole Frye | Massage Therapist | 5894 Long Branch Rd, Jacksonville, FL 32234 | 2020-09-01 |
| 1104437821 | Crystal Delgado Mccraw | Massage Therapist | 869 Stockton St Ste 8, Jacksonville, FL 32204-3590 | 2020-08-14 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1659904514 | Kyoko Provencio | Massage Therapist | 136 Gregory Pl, Jacksonville, AR 72076-3212 | 2020-02-19 |
| 1750933529 | James Bradley Toon | Massage Therapist | 12443 San Jose Blvd Ste 801, Jacksonville, FL 32223-8654 | 2019-07-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32223 |
Please comment or provide details below to improve the information on SHELBY LEE JACOBS.
| 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.