RICKY JACOBSON (NPI# 1619335676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619335676 |
Entity Type | Individual |
Full Name | RICKY JACOBSON |
Credential | RN, MSN |
Practice Address |
280 Pennbrook Pkwy Lansdale PA 19446-3843 |
Mailing Address |
112 Green Valley Cir Dresher PA 19025-1515 |
Practice Telephone | 2156431811 |
Practice Fax Number | 2156433712 |
Mailing Telephone | 2154593547 |
Mailing Fax Number | 2156433712 |
Enumeration Date | 2016-02-05 |
Last Update Date | 2016-02-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
70383105 | PA | Dietary & Nutritional Service Providers |
Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN162041L | PA | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | AMERICAN ASSOCIATION OF DRUGLESS PRACTIONERS | 70383105 | 01 |
Street Address |
280 PENNBROOK PKWY |
City | LANSDALE |
State | PA |
Zip Code | 19446-3843 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225654601 | Nmr Blenheim LLC | In Home Supportive Care | 1001 N Broad Street, Suit A, Room 1&2, Lansdale, PA 19446 | 2020-06-22 |
1063076289 | Lung Health Services PC | Internal Medicine | 1240 South Broad Street, Suite 230, Lansdale, PA 19446 | 2019-04-23 |
1306388806 | Erica B Selheimer | Specialist/Technologist | 133 Canterbury Lane, Lansdale, PA 19446 | 2016-11-15 |
1669862785 | Amanda C Knight | Speech-Language Pathologist | 1161 Forty Foot Road, Lansdale, PA 19446 | 2015-01-27 |
1225433105 | Kelly A Schwartz | Nurse Practitioner | 840 S. Valley Forge Rd, Lansdale, PA 19446 | 2014-11-04 |
1750786430 | Megha Shah | Pharmacist | 1801 North Braod St, Suite 14, Lansdale Pharmacy, Lansdale, PA 19446 | 2014-10-24 |
1184036014 | Natalie Elizabeth Darcy | Dietitian, Registered | 1758 Allentown Road #110, Lansdale, PA 19446 | 2014-05-27 |
1942626940 | Kyung Min | Occupational Therapist | 333 S Line St Apt E4, Lansdale, PA 19446 | 2014-03-14 |
1962839340 | Deval Patel | Nurse Practitioner | 21 S. Valley Forge Rd., Unit 100, Lansdale, PA 19446 | 2013-10-01 |
1205100088 | Arnold Bierman, O.d. P.C. | Optometrist | 2302 Broad St N, Lansdale, PA 19446 | 2012-02-27 |
Find all providers in zip 19446 |
Taxonomy Code | 163WG0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | General Practice |
Definition to come... |
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1811557465 | Julie Ann Bannar | Registered Nurse | 6550 Madison St, New Tripoli, PA 18066-3936 | 2019-06-17 |
1053878652 | Nicole Gozdan | Registered Nurse | 304 Woods Rd, Glenside, PA 19038-1429 | 2019-03-01 |
1972067460 | Ashley Cristiano | Registered Nurse | 271 Lelia St, Pittsburgh, PA 15211-2329 | 2019-01-29 |
1467921015 | Francis Chiejine | Registered Nurse | 6200-b Woodland Ave, 2nd Floor, Philadelphia, PA 19142 | 2018-11-13 |
1982111001 | Shirley Marie Tolbert | Registered Nurse | 7111 Jonathan Place, Pittsburgh, PA 15221-2419 | 2018-01-10 |
1962915462 | Sheri Lynn Davis | Registered Nurse | 371 Apple St, Fleming, PA 16835-0039 | 2017-11-07 |
1275052334 | Heather D Lawrence | Registered Nurse | 440 Entry Rd, Aultman, PA 15713-9601 | 2017-09-11 |
1164945838 | Kimberly Anne Harvey | Registered Nurse | 2625 Market Pl Ste 2, Harrisburg, PA 17110-9362 | 2017-07-25 |
Find all providers with the same taxonomy |
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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.