VERA JACOBS (NPI# 1619408713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619408713 |
| Entity Type | Individual |
| Full Name | VERA JACOBS |
| Practice Address |
415 Princess Ann Dr Durham NC 27703-2518 |
| Practice Telephone | 9176766816 |
| Mailing Telephone | 9176766816 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 39118841 | NC | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629675137 | Vera Jacobs | Behavior Technician | 205 White Tail Ct, Fayetteville, GA 30214-4923 | 2020-10-07 |
| 1891036760 | Vera L. Jacobs | Registered Nurse | 4078 Laurel Rd, Lorain, OH 44055-2539 | 2013-03-02 |
| Street Address |
415 PRINCESS ANN DR |
| City | DURHAM |
| State | NC |
| Zip Code | 27703-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
| 1326654278 | Step By Step In Home Care LLC | Home Health | Imperial Business Park, 4819 Emperor Blvd Suite 400, Durham, NC 27703 | 2020-09-16 |
| 1023598463 | Impact Therapy Services | Speech-Language Pathologist | 6 Winnabow Court, Durham, NC 27703 | 2018-08-15 |
| 1326536327 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 1100 N Miami Blvd Ste 500a, Durham, NC 27703 | 2018-04-25 |
| 1033621719 | Duke University | Preventive Medicine | 4825 Creekstone Drive, Suite 105, Durham, NC 27703 | 2017-11-02 |
| 1023535564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3725 Wake Forest Hwy, Durham, NC 27703 | 2017-08-25 |
| 1487194171 | Shivani L. Chudasama | Social Worker | 5475 Lumley Rd Ste 103, Durham, NC 27703 | 2017-03-01 |
| 1356886030 | Rgh Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 4234 Surles Court, Suite 100, Durham, NC 27703 | 2017-01-04 |
| 1780032821 | Victory Speech Therapy Services, Pllc | Speech-Language Pathologist | 1533 Ellis Rd., Apt J208, Durham, NC 27703 | 2016-05-31 |
| 1124422373 | Helene Azimbi Fonebi | Pharmacist | 8 Gandhi Dr, Durham, NC 27703 | 2014-10-17 |
| Find all providers in zip 27703 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073905626 | Jennie Gayle Sides | Peer Specialist | 8109 Highway 30, Durham, OK 73642-4256 | 2015-02-19 |
| 1154823136 | Yusef Lee | Peer Specialist | 1822 E Nc Highway 54, Durham, NC 27713-3210 | 2018-03-06 |
| 1346742327 | Kristie Wimbush | Peer Specialist | 1822 E Nc Highway 54, Durham, NC 27713-3210 | 2018-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215572896 | Porsha Griffin | Peer Specialist | 809 Park Ave Ste F, Greensboro, NC 27405-7811 | 2019-11-07 |
| 1235787227 | Cecilia Davis Smith | Peer Specialist | 1022 S Main St., Lillington, NC 27546-2754 | 2019-09-03 |
| 1043876220 | Connie C Hargrove | Peer Specialist | 1161 Pinkney Rd Nw, Pikeville, NC 27863-8690 | 2019-05-14 |
| 1538633128 | Krystal Hocutt | Peer Specialist | 1027 Skyview Dr Lot 301, Raleigh, NC 27603-5313 | 2019-01-16 |
| 1902372691 | Amy Sue Wilson | Peer Specialist | 375 Sequoyah Trl # 268, Cherokee, NC 28719 | 2018-10-19 |
| 1063925774 | Pervis Nash | Peer Specialist | 4703 N Sharon Amity Rd Apt 2, Charlotte, NC 28205-4657 | 2017-11-16 |
| 1760919112 | Dana Watson White | Peer Specialist | 327 Holland Dr, Statesville, NC 28677-4168 | 2017-05-16 |
| 1003356940 | Donald Sawyer IIi | Peer Specialist | 1450 E 11th St, Winston Salem, NC 27101-3209 | 2017-02-25 |
| 1215395207 | Troy Allen Hunt | Peer Specialist | 4224 Glenlea Commons Dr, Charlotte, NC 28216-9519 | 2016-02-04 |
| 1710353107 | Vanessa Fitzgerald | Peer Specialist | 423 Brookway West Dr, Lewisville, NC 27023-7602 | 2015-08-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VERA 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.