JESSICA LYNN JACOBS (NPI# 1629608138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629608138 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN JACOBS |
| Practice Address |
360 Fincher Rd Roanoke AL 36274-2632 |
| Practice Telephone | 3346461567 |
| Mailing Telephone | 3346461567 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | S12717 | AL | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250769 | Jessica Nicole Jacobs | Speech-Language Pathologist | 315 E Peak Blvd, Muskogee, OK 74403-8515 | 2020-09-21 |
| 1548807803 | Jessica Lynn Jacobs | Chiropractor | 15 Sherwood Cres, Dix Hills, NY 11746-6458 | 2019-12-05 |
| 1134679574 | Jessica Jacobs | Physical Therapy Assistant | 2693 Brooksedge Vw, Colorado Springs, CO 80910-4454 | 2016-10-10 |
| 1255733689 | Jessica Van Ness Jacobs | Social Worker | 313 Western Blvd Ste E, Greenwood, IN 46142-9217 | 2014-09-17 |
| 1922354364 | Jessica Jacobs | Licensed Practical Nurse | 127 1/2 N 3rd St, Coshocton, OH 43812-1503 | 2012-08-02 |
| 1275187189 | Jessica Leigh Jacobs | Dental Assistant | 5025 Se 28th Ave, Portland, OR 97202-4445 | 2019-07-29 |
| 1972960169 | Jessica Jacobs | Social Worker | 9720 Capital Ct, Suite 301, Office 3, Manassas, VA 20110-2044 | 2016-01-20 |
| 1518335694 | Jessica Nicole Jacobs | Student in an Organized Health Care Education/Training Program | 331 S 3rd St, Bardstown, KY 40004-1032 | 2015-09-08 |
| 1629453311 | Jessica Lynn Jacobs | Counselor | 10820 Sunset Office Dr, Saint Louis, MO 63127-1030 | 2015-07-23 |
| 1245631761 | Jessica Faith Sara Jacobs | Counselor | 8 Atwood Dr, 301, Northampton, MA 01060-4272 | 2014-09-16 |
| Street Address |
360 FINCHER RD |
| City | ROANOKE |
| State | AL |
| Zip Code | 36274-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144520446 | Eagle Drugs LLC | Pharmacy | 3705 Hwy 431, Roanoke, AL 36274 | 2010-11-02 |
| 1538498431 | Harriet Elizabeth Chappell | Nurse Practitioner | 1026 Lafayette Parkway, Roanoke, AL 36274 | 2009-12-24 |
| 1194917096 | William Robert Dixson | Pharmacist | 4108 United States Highway 431, Roanoke, AL 36274 | 2007-08-14 |
| 1841416542 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 935 Hwy 431, Suite 3, Roanoke, AL 36274 | 2007-04-18 |
| 1144322504 | Russell D Peterson | Family Medicine | 965 Us Hwy 431, Roanoke, AL 36274 | 2006-09-05 |
| 1104003987 | Randolph Medical Associates | Spec/Tech, Cardiovascular | 965 Us Hwy 431, Roanoke, AL 36274 | 2008-01-24 |
| 1497815120 | Randolph Medical Associates, PC | Family Medicine | 965 Us Hwy 431, Roanoke, AL 36274 | 2006-12-11 |
| 1417023987 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-11-28 |
| 1841379617 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-11-03 |
| 1568545382 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-10-23 |
| Find all providers in zip 36274 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598382780 | Thomas James Tronstad | Student in an Organized Health Care Education/Training Program | 5009 Oakleigh Ave Sw, Roanoke, VA 24018-1611 | 2020-07-03 |
| 1326662131 | Kara Marie Williams | Student in an Organized Health Care Education/Training Program | 16 Old Woods Ave Se Apt 333, Roanoke, VA 24016-1431 | 2020-06-08 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1790310837 | Amit Piple | Student in an Organized Health Care Education/Training Program | 2530 Rosalind Ave Sw, Roanoke, VA 24014-2326 | 2020-03-09 |
| 1548809429 | Violet Gelowani | Student in an Organized Health Care Education/Training Program | 1406 3rd St Sw Apt 5, Roanoke, VA 24016-5249 | 2019-12-25 |
| 1275171241 | Kayla Brett Pulley | Student in an Organized Health Care Education/Training Program | 327 Campbell Ave Sw Apt 107, Roanoke, VA 24016-3653 | 2019-12-20 |
| 1831754175 | Kevin Charles Duffy | Student in an Organized Health Care Education/Training Program | 16 Old Whitmore Ave Se Apt 414, Roanoke, VA 24016-1236 | 2019-05-02 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| Find all providers in ROANOKE | ||||
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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.