JOHN JACOBS III (NPI# 1497184378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497184378 |
Entity Type | Individual |
Full Name | JOHN JACOBS III |
Credential | NP-C |
Practice Address |
3236 E Grand Ave Ste D Laramie WY 82070-5100 |
Practice Telephone | 3077608602 |
Practice Fax Number | 3074609880 |
Mailing Telephone | 3077608602 |
Mailing Fax Number | 3074609880 |
Enumeration Date | 2013-11-01 |
Last Update Date | 2018-11-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
34286.1346 | WY | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0990808-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2259982 | MA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | P01679910 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366801441 | John Jacobs II | Chiropractor | 607a N Military St, Loretto, TN 38469-2341 | 2016-02-17 |
1174671804 | John R Jacobs | Psychiatry & Neurology | 1600 Candia Rd, Manchester, NH 03109-5512 | 2007-01-08 |
1750483517 | John William Jacobs | Psychiatry & Neurology | 180 East 79th Street, 1d, New York, NY 10021 | 2006-09-02 |
1588676050 | John Yaghoubieh Jacobs | Optometrist | 5657 Wilshire Blvd, 130, Los Angeles, CA 90036-3736 | 2006-08-13 |
1619910825 | John Mccormick Jacobs | Social Worker | 76 Jimmy Leeds Road, Suite 202, Galloway, NJ 08205 | 2006-06-14 |
1568454163 | John P Jacobs | Radiology | 1401 Chester Blvd, Richmond, IN 47374-1908 | 2005-08-19 |
1336147115 | John Timothy Jacobs | Pharmacist | 2701 Austin Ave, Brownwood, TX 76801-5834 | 2005-07-14 |
1972160059 | John Patrick Jacobs | Specialist | 1201 Broad Rock Blvd, Richmond, VA 23249-4915 | 2019-05-23 |
1336679430 | John Christopher Jacobs Jr. | Emergency Medicine | 5171 S Cottonwood St Ste 740, Murray, UT 84107-5705 | 2017-06-13 |
1427205996 | John A Jacobs | Dietitian, Registered | 100 John Roemmelt Dr, Suite 202, Horseheads, NY 14845-8301 | 2008-08-26 |
Street Address |
3236 E GRAND AVE STE D |
City | LARAMIE |
State | WY |
Zip Code | 82070-5100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477109445 | Philip Lerory Sanders IIi | Nurse Practitioner | 3236 E Grand Ave Ste D, Laramie, WY 82070-5100 | 2019-08-14 |
1982051850 | Chris Otto | Physician Assistant | 3236 E Grand Ave Ste D, Laramie, WY 82070-5100 | 2016-05-19 |
1174983118 | Grand Avenue Urgent Care, LLC | Clinic/Center | 3236 E Grand Ave Ste D, Laramie, WY 82070-5100 | 2016-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
Find all providers in zip 82070 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992310999 | Integrative Health Specialists, LLC | Nurse Practitioner | 304 Coffeen Ave Ste A, Sheridan, WY 82801-4803 | 2020-09-15 |
1477061836 | Leesa Marie Belus | Nurse Practitioner | 1842 Sugarland Dr Ste 103, Sheridan, WY 82801-5719 | 2018-01-18 |
1336797166 | Krisinda Michelle White | Nurse Practitioner | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2019-08-26 |
1720589591 | Kristen Rebecca Dobbin | Nurse Practitioner | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2018-02-26 |
1093248114 | Donald Coulter | Nurse Practitioner | 3632 American Way, Casper, WY 82604-3164 | 2017-04-05 |
1972051423 | Stephanie M Davis | Nurse Practitioner | 1230 E 1st St, Casper, WY 82601-2704 | 2016-09-13 |
1619330149 | Sarah Lynn Frank | Nurse Practitioner | 4140 Centennial Hills Blvd Ste A, Casper, WY 82609 | 2016-04-01 |
1447671920 | Robin Horsley | Nurse Practitioner | 1401 W 5th St, Sheridan, WY 82801-2705 | 2013-12-30 |
1699732503 | Keri Rae Pulley | Nurse Practitioner | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2006-04-26 |
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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.