HEATHER LYNN JACOBY (NPI# 1639646490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639646490 |
| Entity Type | Individual |
| Full Name | HEATHER LYNN JACOBY |
| Credential | PA-S |
| Practice Address |
15 Back River Rd Apt 4 Dover NH 03820-4428 |
| Practice Telephone | 6108231491 |
| Mailing Telephone | 6108231491 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| 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 | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467749366 | Heather L Jacoby | Counselor | 47 Pleasant St, Oxford, ME 04270-4273 | 2011-06-30 |
| 1174925358 | Heather Annette Jacoby | Social Worker | 850 W Lancaster Ave Ste 2, Bryn Mawr, PA 19010-3220 | 2014-09-19 |
| Street Address |
15 BACK RIVER RD APT 4 |
| City | DOVER |
| State | NH |
| Zip Code | 03820-4428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701242 | Kassie Nicole Zukowski | Speech-Language Pathologist | 40 Chestnut St., Unit 3, Dover, NH 03820 | 2020-08-18 |
| 1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
| 1790324002 | Mark Boren | Driver | 29 Cornerstone Dr., Dover, NH 03820 | 2020-01-03 |
| 1568963221 | Sarah Hesketh | Speech-Language Pathologist | 61 Locust Street #333, Dover, NH 03820 | 2018-02-27 |
| 1881106524 | Ashley Leighton | Specialist/Technologist | 197 Dover Point Rd, Dover, NH 03820 | 2017-11-03 |
| 1588048854 | Alliance Mental Health and Youth Consultation Services LLC | Counselor | 1 Washington St Ste 318, Dover, NH 03820 | 2015-07-16 |
| 1275920027 | Meredith Ashley Joyce | Counselor | 50 Chesnut St., Dover, NH 03820 | 2015-04-20 |
| 1891182655 | Jodi Alger | Registered Nurse | 113 Crosby Rd Suite 1, Dover, NH 03820 | 2015-04-20 |
| 1497148159 | Laura Anne Forsblad | Counselor | 750 Central Ave Ste Us, Dover, NH 03820 | 2015-03-05 |
| 1295142867 | Heather M Driscoll | Case Management | 50 Chestnut Street, Suite A, Dover, NH 03820 | 2014-07-16 |
| Find all providers in zip 03820 | ||||
| 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 |
|---|---|---|---|---|
| 1255968368 | Lyla H Azzam | Student in an Organized Health Care Education/Training Program | Zufall Health Center, 18 West Blackwell Street, Dover, NJ 07801 | 2020-03-26 |
| 1871067629 | Julia Jefka | Student in an Organized Health Care Education/Training Program | 61 Dunns Bridge Ln, Dover, NH 03820-4479 | 2019-01-15 |
| 1508361437 | Alecia Hagman | Student in an Organized Health Care Education/Training Program | 205 Silver St, Dover, NH 03820-3979 | 2018-03-23 |
| 1477080158 | Tania Lugo | Student in an Organized Health Care Education/Training Program | 14254 N Wooten Rd, Dover, FL 33527-5646 | 2017-05-12 |
| 1871114231 | Mate Kalapos | Student in an Organized Health Care Education/Training Program | 400 W Blackwell St, Dover, NJ 07801-2525 | 2020-04-27 |
| 1467071712 | Carolina Lopez | Student in an Organized Health Care Education/Training Program | 17 S Warren St, Dover, NJ 07801-4506 | 2020-04-15 |
| 1417576372 | Hy T Le | Student in an Organized Health Care Education/Training Program | 18 W Blackwell St, Dover, NJ 07801-3841 | 2020-04-10 |
| 1649836925 | Zaineb Shamim | Student in an Organized Health Care Education/Training Program | 400 W Blackwell St, Dover, NJ 07801-2525 | 2019-05-13 |
| 1366905572 | Nadia Shadani | Student in an Organized Health Care Education/Training Program | 17 S Warren St, Dover, NJ 07801-4506 | 2019-04-13 |
| 1669935748 | Rochelle Michaela Farberov | Student in an Organized Health Care Education/Training Program | 17 S Warren St, Dover, NJ 07801-4506 | 2019-04-07 |
| Find all providers in DOVER | ||||
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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.