MRS. AMY ANN JACOBSON (NPI# 1619146503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619146503 |
| Entity Type | Individual |
| Full Name | MRS. AMY ANN JACOBSON |
| Credential | N.P. |
| Practice Address |
1223 16th St Ste 3100 Santa Monica CA 90404-1275 |
| Mailing Address |
1245 16th St 312 Santa Monica CA 90404-1235 |
| Practice Telephone | 4242598791 |
| Practice Fax Number | 4248997557 |
| Mailing Telephone | 4242598791 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
17594 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811200561 | Amy Lynn Jacobson | Physical Therapist | 7000 54th St, Kenosha, WI 53144-3751 | 2010-07-23 |
| 1780676577 | Amy C. Jacobson | Social Worker | 113 N Chestnut St, New Paltz, NY 12561-1005 | 2005-08-17 |
| 1386297596 | Amy Jacobson | Behavior Technician | 5750 Sunrise Blvd Ste 210b, Citrus Heights, CA 95610-7639 | 2019-07-17 |
| 1396226551 | Amy Cf Jacobson | Registered Nurse | 200 Retreat Ave, Hartford Hospital Psych Dept, Hartford, CT 06106-3309 | 2018-08-27 |
| 1912459389 | Amy Jacobson | Registered Nurse | 555 Cedar St, Saint Paul, MN 55101-2209 | 2016-11-01 |
| 1134532245 | Amy Jacobson | Audiologist | 2101 Beaser Ave, Suite 3, Ashland, WI 54806-3638 | 2014-06-05 |
| 1386957363 | Amy Jacobson | Anesthesiology | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2010-07-20 |
| 1346254059 | Amy P. Jacobson | Physician Assistant | 69 State St, Northampton, MA 01060-3049 | 2006-07-28 |
| Street Address |
1223 16TH ST STE 3100 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598743700 | Amy M Kusske | Surgery | 1223 16th St Ste 3100, Santa Monica, CA 90404-1275 | 2006-01-06 |
| 1154987634 | Audrey Realeza Cano | Nurse Practitioner | 1223 16th St Ste 3100, Santa Monica, CA 90404-1275 | 2019-05-10 |
| 1639638968 | Angela Doan | Nurse Practitioner | 1223 16th St Ste 3100, Santa Monica, CA 90404-1275 | 2019-03-16 |
| 1801295845 | Janelle E Smith | Dietitian, Registered | 1223 16th St Ste 3100, Santa Monica, CA 90404-1275 | 2014-08-15 |
| 1467795377 | Benjamin Nulsen | Internal Medicine | 1223 16th St Ste 3100, Santa Monica, CA 90404-1275 | 2013-03-28 |
| 1467727776 | Kara E Walter | Internal Medicine | 1223 16th St Ste 3100, Santa Monica, CA 90404-1275 | 2012-03-20 |
| 1528298528 | Carl Nordstrom | Internal Medicine | 1223 16th St Ste 3100, Santa Monica, CA 90404-1275 | 2009-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629409891 | Dominique M. Delvecchio | Nurse Practitioner | 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 | 2013-12-12 |
| 1750714408 | Mihae Kim | Nurse Practitioner | 1301 20th St Ste 150, Santa Monica, CA 90404-2050 | 2013-08-16 |
| 1356600423 | Traci Akiko Eguchi | Nurse Practitioner | 1821 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5627 | 2012-05-10 |
| 1619260015 | Irene Jennifer Davis | Nurse Practitioner | 1225 15th St, Santa Monica, CA 90404-1101 | 2011-05-18 |
| 1629372149 | Jacquelyn Gonzales | Nurse Practitioner | 2020 Santa Monica Blvd Ste 600, Santa Monica, CA 90404-2131 | 2010-12-23 |
| 1831271196 | Courtney Dane Carmichael | Nurse Practitioner | 2001 Santa Monica Blvd, Suite 1170 W, Santa Monica, CA 90404-2102 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
Please comment or provide details below to improve the information on MRS. AMY ANN JACOBSON.
| 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.