BARBARA ANN JACOBSON (NPI# 1689804239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689804239 |
| Entity Type | Individual |
| Full Name | BARBARA ANN JACOBSON |
| Credential | FNP |
| Practice Address |
902 N Orange St Missoula MT 59802-2928 |
| Mailing Address |
Po Box 12 Liberty Lake WA 99019-0012 |
| Practice Telephone | 4063295736 |
| Practice Fax Number | 4063292991 |
| Mailing Telephone | 8667472455 |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 200950085NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
128682 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICARE PART B | R103163 | 01 |
| OR | 168395 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 544 W Umpqua St, Suite 101, Roseburg, OR 974712966 | 5416729596 | 5414643519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508199753 | Barbara H. Jacobson | Speech-Language Pathologist | Vanderbilt Voice Ctr, 1215 Medical Center Drive, Nashville, TN 37232-0001 | 2009-09-04 |
| 1184771610 | Barbara Marie Jacobson | Registered Nurse | 680 Blair Mill Rd, Horsham, PA 19044-2223 | 2007-01-05 |
| 1881623494 | Barbara Jacobson | Counselor | 2910 Franks Rd, Suite 1, Huntingdon Valley, PA 19006-4215 | 2006-07-03 |
| Street Address |
902 N ORANGE ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003821976 | Brooks William Baer | Counselor | 902 N Orange St, Suite 102, Missoula, MT 59802-2928 | 2006-07-29 |
| 1699916429 | Providence Health & Services Mt | Physical Medicine & Rehabilitation | 902 N Orange St, 4th Floor, Missoula, MT 59802-2928 | 2009-03-06 |
| 1336380161 | Providence Health & Services Mt | Internal Medicine | 902 N Orange St, Missoula, MT 59802-2928 | 2009-03-06 |
| 1093830515 | Robert C. Munjal | Psychiatry & Neurology | 902 N Orange St, Suite 206, Missoula, MT 59802-2928 | 2007-03-21 |
| 1619058302 | Providence Health & Services Mt | Psychiatric Unit | 902 N Orange St, Missoula, MT 59802-2928 | 2006-10-18 |
| 1407860745 | Providence Surgery Center | Clinic/Center | 902 N Orange St, Missoula, MT 59802-2916 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730656299 | Brandi Roman Glibbery | Nurse Practitioner | 4109 Barbara Ln, Missoula, MT 59803-1114 | 2018-11-01 |
| 1326526948 | Ruth Elizabeth King | Nurse Practitioner | 6114 Helena Dr, Missoula, MT 59803-2706 | 2018-08-06 |
| 1205313590 | Michelle Weaver Knowles | Nurse Practitioner | 2825 Fort Missoula Rd Ste 113, Missoula, MT 59804-7403 | 2018-07-19 |
| 1467995928 | Sarah Slater | Nurse Practitioner | 1101 S 3rd St W Ste 101, Missoula, MT 59801-2321 | 2016-11-30 |
| 1992161772 | Jennifer Jane Lee Simon | Nurse Practitioner | 500 W Broadway St Ste 310, Missoula, MT 59802-4003 | 2016-01-08 |
| 1427489822 | Katrina Lin Brucker | Nurse Practitioner | 902 N Orange St Ste 202, Missoula, MT 59802-2928 | 2013-12-10 |
| 1659704526 | Heidi Efinger | Nurse Practitioner | 2340 Mullan Rd, Missoula, MT 59808-1830 | 2013-08-15 |
| 1427301589 | Adeline May Wakeman | Nurse Practitioner | 728 Monroe St, Apt. A, Missoula, MT 59802-3716 | 2012-10-25 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1780946764 | Ka Moua | Nurse Practitioner | 2685 Palmer St Ste D, Missoula, MT 59808-1709 | 2012-06-14 |
| Find all providers in MISSOULA | ||||
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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.