MRS. RANDA DANIELLE JACOBSEN (NPI# 1558852814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558852814 |
| Entity Type | Individual |
| Full Name | MRS. RANDA DANIELLE JACOBSEN |
| Credential | NP-C |
| Practice Address |
102 Wonder World Dr Ste 307 San Marcos TX 78666-6070 |
| Mailing Address |
4807 Las Brisas St San Antonio TX 78233-6339 |
| Practice Telephone | 5123936003 |
| Mailing Telephone | 9033724175 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP137030 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
102 WONDER WORLD DR STE 307 |
| City | SAN MARCOS |
| State | TX |
| Zip Code | 78666-6070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
| 1619590965 | Ann Mary Carney | Occupational Therapist | 302 Riverside Dr, San Marcos, TX 78666 | 2020-05-21 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
| 1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
| 1689138562 | Joseph Richard Lednicky | Specialist/Technologist | 700 Aquarena Springs Drive, San Marcos, TX 78666 | 2019-01-25 |
| 1376007336 | Viktoria Guerrero | Specialist/Technologist | Jowers Access Rd, San Marcos, TX 78666 | 2019-01-24 |
| 1336611771 | Joan Marie Wood | Occupational Therapist | Cole Pediatric Therapy, 101 Uhland Rd, San Marcos, TX 78666 | 2018-12-26 |
| 1851861496 | Kingfisher Health LLC | Home Health | 125 Mccarty Lane, San Marcos, TX 78666 | 2018-11-27 |
| 1669954723 | Christopher Macha | Student in an Organized Health Care Education/Training Program | 1 Jowers Access Road, San Marcos, TX 78666 | 2018-09-05 |
| Find all providers in zip 78666 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174920367 | Julia Godley | Nurse Practitioner | 1706 Descanso Ave, San Marcos, CA 92078-2514 | 2014-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262570 | Holly Joyce Carlstrand | Nurse Practitioner | 18 Carmel Chase Ct, Manvel, TX 77578-3452 | 2020-10-13 |
| 1700483690 | Amy Calder | Nurse Practitioner | 14441 Memorial Dr Ste 5, Houston, TX 77079-6708 | 2020-10-05 |
| 1104423300 | Donna Ann Ford | Nurse Practitioner | 1605 Turtle Dr, San Angelo, TX 76904-7708 | 2020-10-01 |
| 1497361653 | Alexis Jolivet | Nurse Practitioner | 8706 Shiloh St, Texas City, TX 77591-2327 | 2020-09-22 |
| 1851906960 | Ann Nnenna Ugbeme | Nurse Practitioner | 1601 Lisburn Dr, Mckinney, TX 75071-3357 | 2020-09-15 |
| 1528673233 | Lashika R Meanus | Nurse Practitioner | 10501 Matador Dr, Mckinney, TX 75072-2952 | 2020-09-10 |
| 1700498391 | Raphael Udalor | Nurse Practitioner | 3631 Campfield Ct, Katy, TX 77449-8621 | 2020-08-17 |
| 1326664020 | Tasha Samantha Leonard | Nurse Practitioner | 622 Orlandis Ln, Rosenberg, TX 77469-5084 | 2020-06-19 |
| 1962025171 | Shewana Spencer | Nurse Practitioner | 613 W Bluff St, Woodville, TX 75979-5125 | 2020-05-21 |
| 1992325906 | Emily Natosha Bennett | Nurse Practitioner | 4323 Dragonwick Dr, Houston, TX 77045-3311 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
| City | SAN MARCOS |
| Zip Code | 78666 |
Please comment or provide details below to improve the information on MRS. RANDA DANIELLE JACOBSEN.
| 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.