RENA JACOBS (NPI# 1629301718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629301718 |
| Entity Type | Individual |
| Full Name | RENA JACOBS |
| Other Name | RENA BRYAN |
| Credential | PA |
| Practice Address |
6 Main St Durham CT 06422-2126 |
| Mailing Address |
28 Crescent St Middletown CT 06457-3654 |
| Practice Telephone | 8603491058 |
| Practice Fax Number | 8603588652 |
| Mailing Telephone | 8603584820 |
| Mailing Fax Number | 8603588661 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2017-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002304 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008016826 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487006870 | Rena Jacobs | Marriage & Family Therapist | 9777 Wilshire Blvd, Suite 707, Beverly Hills, CA 90212-1910 | 2016-07-08 |
| Street Address |
6 MAIN ST |
| City | DURHAM |
| State | CT |
| Zip Code | 06422-2126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063994812 | Sarah Musumano Phillips | Nurse Practitioner | 6 Main St, Durham, CT 06422-2130 | 2018-08-29 |
| 1417367657 | Jessica Reichbind | Family Medicine | 6 Main St, Durham, CT 06422-2130 | 2014-04-28 |
| 1366675688 | Lauryn M Slomkowski | Nurse Practitioner | 6 Main St, Durham, CT 06422-2126 | 2009-09-02 |
| 1265469068 | Bradford W Wilkinson | Family Medicine | 6 Main St, Durham, CT 06422 | 2006-06-27 |
| 1366487563 | John M Carbone | Family Medicine | 6 Main St, Durham, CT 06422-2126 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790999019 | Durham Dental LLC | Dentist | 360 D Main Street, Durham, CT 06422 | 2007-05-09 |
| 1942429014 | Mhs Primary Care | Physician Assistant | 6 Main St., Durham, CT 06422 | 2007-04-25 |
| 1407490717 | Sharon Jean Koch | Social Worker | 80 Plains Rd, Unit 1, Essex, CT 06422 | 2019-10-30 |
| 1013343334 | William Allen Gillespie | Pediatrics | 256 Main St, Durham, CT 06422 | 2013-09-18 |
| 1386993574 | Brownstone Psychological Associates, LLC | Psychologist | 199 Main Street, Durham, CT 06422 | 2012-09-03 |
| 1851640148 | Debra Shepard Nelson | Psychologist | 199 Main Street, Durham, CT 06422-0002 | 2012-09-03 |
| 1457774978 | Karen Otte | Social Worker | 525 New Haven Rd., Durham, CT 06422-0236 | 2014-02-04 |
| 1396746400 | Amit Patel | Dentist | 28 Elihu Dr, Durham, CT 06422-1025 | 2005-08-10 |
| 1730458068 | Diane Adele Mount Desroches | Registered Nurse | 459r Wallingford Rd, Durham, CT 06422-1124 | 2011-12-15 |
| 1811250632 | Angela Andrade | Social Worker | 459r Wallingford Rd, Durham, CT 06422-1124 | 2012-06-18 |
| Find all providers in zip 06422 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1801402896 | Kristy Marie Stevlingson | Physician Assistant | 2211 Hillsborough Rd Apt 4081, Durham, NC 27705-4163 | 2020-09-16 |
| 1700490877 | Alice Curchin | Physician Assistant | 813 N Buchanan Blvd Apt 4, Durham, NC 27701-1563 | 2020-09-04 |
| 1366056434 | Katherine Monjaras | Physician Assistant | 2901 Bertland Ave Apt 1538, Durham, NC 27705-6829 | 2020-09-04 |
| 1659980233 | Belinda Kim Khou | Physician Assistant | 501 Willard St Apt 215, Durham, NC 27701-3285 | 2020-07-29 |
| 1568080943 | Katherine Jean Hauler | Physician Assistant | 3802 Meriwether Dr Apt L, Durham, NC 27704-2855 | 2020-07-11 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1225668536 | Ashley Lynn Biggs | Physician Assistant | 4302 Waterford Valley Dr Apt 1911, Durham, NC 27713-8353 | 2020-01-26 |
| 1710546007 | Lauren Deruyter | Physician Assistant | 40 Duke Medicine Cir # 3j, Durham, NC 27710-4000 | 2019-06-10 |
| 1295202505 | Nathaniel Quinley | Physician Assistant | Duke Clinic 40 Duke Medicine Circle, Durham, NC 27710-0001 | 2018-10-25 |
| Find all providers in DURHAM | ||||
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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.