DR. KENT F JACOBS (NPI# 1508090721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508090721 |
| Entity Type | Individual |
| Full Name | DR. KENT F JACOBS |
| Credential | MD |
| Practice Address |
3610 Southwind Rd Las Cruces NM 88007-5556 |
| Practice Telephone | 5755239095 |
| Practice Fax Number | 5755230107 |
| Mailing Telephone | 5755239095 |
| Mailing Fax Number | 5755230107 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 68-116 | NM | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 13896 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689650640 | Kent L Jacobs | Emergency Medicine | 2550 S Parker Rd, Ste 206, Aurora, CO 80014-1622 | 2005-12-21 |
| Street Address |
3610 SOUTHWIND RD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88007-5556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952814196 | Debra G Hanus | Registered Nurse | 12325 Fort Mcrae Rd., Las Cruces, NM 88007 | 2017-11-09 |
| 1730698309 | Equine Assisted Programs of Southern New Mexico LLC | Clinic/Center | 190 Providence Road, Las Cruces, NM 88007 | 2017-09-26 |
| 1952841926 | Kimberly Danielle Diaz | Marriage & Family Therapist | 471 Alvillar Rd, Las Cruces, NM 88007 | 2017-02-24 |
| 1326420951 | Juan Mendoza | Psychologist | 715 E. Idaho, Las Cruces, NM 88007 | 2015-06-19 |
| 1801206974 | Sonnie Michelle Sanchez | Case Manager/Care Coordinator | 2211 N. Valley Dr., Las Cruces, NM 88007 | 2014-04-29 |
| 1932528171 | Carrie A Jones | Case Manager/Care Coordinator | 2211 N. Valley, Las Cruces, NM 88007 | 2014-04-15 |
| 1881015402 | Tony Trevino | Case Manager/Care Coordinator | 660 Copa Lane, Las Cruces, NM 88007 | 2013-12-27 |
| 1982025508 | Gilbert L Barela | Case Manager/Care Coordinator | 440 Helens Place, Las Cruces, NM 88007 | 2013-12-27 |
| 1497176010 | Heather Barela | Case Manager/Care Coordinator | 305 Windchime Lane, Las Cruces, NM 88007 | 2013-12-27 |
| 1962833194 | Sylvia Trevino | Case Manager/Care Coordinator | 660 Copa Ln., Las Cruces, NM 88007 | 2013-12-13 |
| Find all providers in zip 88007 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295246098 | Quality Life Services, LLC | Specialist | 4212 Hermia Ct, Las Cruces, NM 88011-0918 | 2017-10-19 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| 1962767335 | David Gerald Deissenberg | Specialist | 126 S Downtown Mall, Las Cruces, NM 88001-1218 | 2012-07-11 |
| 1487915518 | Lohman Anesthesia Associates LLC | Specialist | 4381 E Lohman Ave Ste A, Las Cruces, NM 88011-8255 | 2012-06-05 |
| 1154639136 | Zoe Frances Christian | Specialist | 3530 Foothills Rd Ste N, Las Cruces, NM 88011-3621 | 2010-09-23 |
| 1184930869 | Katrina J Hille | Specialist | 102 Wyatt Dr, Las Cruces, NM 88005-2925 | 2010-08-19 |
| 1902131824 | Robert Fishback | Specialist | 4521 Mesa Rico, Las Cruces, NM 88011-7215 | 2009-10-09 |
| 1538399605 | Esperanza Telles | Specialist | 210 W Las Cruces Ave, Las Cruces, NM 88005-1804 | 2009-07-22 |
| 1194991448 | April Anne Mancha | Specialist | 1800 Bromilow St, Las Cruces, NM 88001-5151 | 2008-05-07 |
| 1437339512 | Leonel G. Rodarte M.d. | Specialist | 3885 Foothills, Ste. B, Las Cruces, NM 88011 | 2007-11-06 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88007 |
Please comment or provide details below to improve the information on DR. KENT F 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.