LAURA JACOBSEN (NPI# 1700985520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700985520 |
| Entity Type | Individual |
| Full Name | LAURA JACOBSEN |
| Credential | NP |
| Practice Address |
725 Irving Ave Physician's Office Building, Suite 112 Syracuse NY 13210-1603 |
| Practice Telephone | 3154646395 |
| Practice Fax Number | 3154646398 |
| Mailing Telephone | 3154646395 |
| Mailing Fax Number | 3154646398 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F331901 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073873907 | Laura Jacobsen | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-0001 | 2012-05-25 |
| 1356545107 | Laura L Jacobsen | Social Worker | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2007-06-14 |
| Street Address |
725 IRVING AVE PHYSICIAN'S OFFICE BUILDING, SUITE 112 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321826 | Glenda J Hungerford | Nurse Anesthetist, Certified Registered | 725 Irving Ave, Suite 402, Syracuse, NY 13210 | 2005-07-26 |
| 1659937456 | Stephanie Locicero | Physician Assistant | 725 Irving Ave, Syracuse, NY 13210-1603 | 2019-05-16 |
| 1023526522 | John Stepan Pototsky | Nurse Anesthetist, Certified Registered | 725 Irving Ave, Syracuse, NY 13210-1603 | 2018-01-18 |
| 1891205043 | Quentin Lawrence Archer | Physician Assistant | 725 Irving Ave, Syracuse, NY 13210-1603 | 2017-10-02 |
| 1316390834 | Julie Albanese | Nurse Practitioner | 725 Irving Ave, Suite 504, Syracuse, NY 13210-1603 | 2016-07-20 |
| 1679928311 | Jo-anne Furcinito | Nurse Practitioner | 725 Irving Ave, Syracuse, NY 13210-1603 | 2016-05-02 |
| 1811384639 | Jacqlene Nicholle Tillmes | Dietitian, Registered | 725 Irving Ave, Suite 504, Syracuse, NY 13210-1603 | 2015-04-20 |
| 1760874150 | Stacey L Messe | Dietitian, Registered | 725 Irving Ave, Suite 504, Syracuse, NY 13210-1603 | 2015-02-23 |
| 1376946715 | Cheryl Palmer | Counselor | 725 Irving Ave, Suite 302, Syracuse, NY 13210-1603 | 2014-09-30 |
| 1396163465 | Caroline Burns Stroup | Obstetrics & Gynecology | 725 Irving Ave, Suite 600, Syracuse, NY 13210 | 2014-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1679191019 | Katherine Rose Halleck | Nurse Practitioner | 141 Atkinson Ave, Syracuse, NY 13207-1125 | 2020-07-13 |
| 1649817693 | Ladislava Kulikova | Nurse Practitioner | 55 Westbrook Hills Dr, Syracuse, NY 13215-1809 | 2019-12-09 |
| 1841845799 | Robin M Stark | Nurse Practitioner | 1000 E Genesee St Ste 402, Syracuse, NY 13210-1853 | 2019-08-07 |
| 1699335729 | Kathleen M Tindall | Nurse Practitioner | 739 Irving Ave Ste 450, Syracuse, NY 13210-1663 | 2019-06-20 |
| 1760964142 | Stacey Margaret Schneble | Nurse Practitioner | 114 Skyview Ter, Syracuse, NY 13219-2850 | 2018-09-03 |
| 1447753355 | Lilia P Buchmuller | Nurse Practitioner | 1361 S 2675 W, Syracuse, UT 84075-8306 | 2018-03-16 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1225550783 | Kerry Laine Goessling | Nurse Practitioner | 6712 Brooklawn Pkwy Ste 204, Syracuse, NY 13211-2158 | 2017-07-16 |
| Find all providers in SYRACUSE | ||||
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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.