MICHAEL JACOBS IV (NPI# 1710522313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710522313 |
| Entity Type | Individual |
| Full Name | MICHAEL JACOBS IV |
| Credential | FNP-BC |
| Practice Address |
609 Attain St Ste 101 Fuquay Varina NC 27526-1984 |
| Mailing Address |
2587 Ravenhill Dr Fayetteville NC 28303-5451 |
| Practice Telephone | 9195670684 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5012389 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558996694 | Michael A Jacobs | Psychologist | 711 Marys Dr, Brick, NJ 08723-4213 | 2020-03-10 |
| 1144643859 | Michael Jacobs Sr. | Counselor | 351 Atlantic Ave, Massapequa Park, NY 11762-1627 | 2014-01-31 |
| 1225377823 | Michael Jacobs | Emergency Medicine | 416 Doral Dr, Cherry Hill, NJ 08003-3320 | 2013-02-04 |
| 1609135482 | Michael Winston Jacobs | Pharmacist | 1013 Monticello Ln, Lancaster, PA 17601 | 2012-05-14 |
| 1619123726 | Michael Joseph Jacobs | Registered Nurse | 10640 Gateway Blvd N Ste B, El Paso, TX 79924-1700 | 2008-08-09 |
| 1194881920 | Michael E Jacobs | Internal Medicine | 364 State Rd, Vineyard Haven, MA 02568-5624 | 2006-12-28 |
| 1538271325 | Michael Thomas Jacobs | Chiropractor | 2727 Roosevelt St Ste B, Carlsbad, CA 92008-1617 | 2006-08-31 |
| 1821101684 | Michael E. Jacobs | Optometrist | 573 Five Cities Dr, Pismo Beach, CA 93449-3005 | 2006-08-16 |
| 1750398046 | Michael Jacobs | Dentist | 1509 N State Road 7, Suite H, Margate, FL 33063-5731 | 2006-08-01 |
| 1164495693 | Michael Scott Jacobs | Ophthalmology | 1080 Vend Dr, Suite 100, Watkinsville, GA 30677-7751 | 2006-02-07 |
| Street Address |
609 ATTAIN ST STE 101 |
| City | FUQUAY VARINA |
| State | NC |
| Zip Code | 27526-1984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538537519 | Best Day Psychiatry and Counseling, PC | Counselor | 609 Attain St Ste 101, Fuquay Varina, NC 27526-1984 | 2015-09-09 |
| 1477101038 | Michelle R Gilmore | Nurse Practitioner | 609 Attain St Ste 101, Fuquay Varina, NC 27526-1984 | 2019-08-27 |
| 1831673078 | Kristall Williams | Social Worker | 609 Attain St Ste 101, Fuquay Varina, NC 27526-1984 | 2018-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782721 | Leah C. Mcconkey | Speech-Language Pathologist | 305 Willow Grace Lane, Fuquay Varina, NC 27526 | 2019-10-18 |
| 1437617727 | Katherine Venable | Physician Assistant | 1418 N Main Street, Fuquay - Vanna, NC 27526 | 2019-03-06 |
| 1114403599 | Christine Newkirk | Social Worker | 344 Edgecroft Way, Fuquay Varina, NC 27526 | 2018-07-18 |
| 1851800536 | Pamela Trapp Johnson | Specialist | 196 Knight Estates Cir, Fuquay Varina, NC 27526 | 2017-09-25 |
| 1376908228 | Carrie Adeline Mitchell | Social Worker | 441 Leyland Cypress Ln, Fuquay Varina, NC 27526 | 2015-12-19 |
| 1235504267 | Keyana Sharlene Williams | Counselor | 602 E Academy St #205, Fuquay Varina, NC 27526 | 2015-12-02 |
| 1124452974 | Q1consultants, LLC | Community/Behavioral Health | 326 Daywood Creek Place, Fuquay, NC 27526 | 2013-08-29 |
| 1053759654 | Ellen Marie Macri | Developmental Therapist | 119 South Fuquay Avenue, Fuquay-varina, NC 27526 | 2013-06-05 |
| 1811239726 | Leslie H Yuan Gazdeck | Dentist | 1625 N Main St Ste 201, Fuquay Varina, NC 27526 | 2013-03-19 |
| 1093017725 | Joanne Scannell | Occupational Therapist | 119 South Fuquay Ave, Fuquay Varina, NC 27526 | 2010-12-01 |
| Find all providers in zip 27526 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871310 | Adriane Dehghan | Nurse Practitioner | 605 N Main St, Fuquay Varina, NC 27526-2026 | 2020-11-08 |
| 1902433444 | Shakeila Ray | Nurse Practitioner | 441 Lakestone Commons Ave, Fuquay Varina, NC 27526-6972 | 2020-03-25 |
| 1013459148 | Natalie Morreale | Nurse Practitioner | 1006 Procure St, Suite 100, Fuquay Varina, NC 27526-2627 | 2016-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891959 | Amanda Lou Nester | Nurse Practitioner | 5293 Wayne Memorial Dr, Goldsboro, NC 27534-7257 | 2020-11-04 |
| 1902406671 | Lilly Danielle Appleberry | Nurse Practitioner | 6005 Clarks Fork Dr, Raleigh, NC 27616-5821 | 2020-10-30 |
| 1457950255 | Ronda Kaye Mckinney | Nurse Practitioner | 27 Resort Dr, Asheville, NC 28806-3815 | 2020-10-22 |
| 1215544986 | Tonya Lynn Burris | Nurse Practitioner | 7810 Providence Rd Ste 102, Charlotte, NC 28226-2987 | 2020-09-28 |
| 1609482280 | Deanna Mclamb | Nurse Practitioner | 3102 Bell Arthur Rd, Greenville, NC 27834-4758 | 2020-09-19 |
| 1548873664 | Rosalynn Maria Solis | Nurse Practitioner | 1407 Regal View Dr, Kernersville, NC 27284-0060 | 2020-08-28 |
| 1003428293 | Kashari Davis | Nurse Practitioner | 4252 Sutwick Dr, Charlotte, NC 28269-6001 | 2020-08-19 |
| 1861003709 | Raymond William Meyers | Nurse Practitioner | 1604 Pelham Rd, Winterville, NC 28590-9131 | 2020-08-13 |
| 1700495553 | Evergreen Emmejune Haverkamp | Nurse Practitioner | 545 Schultz Cir, Newland, NC 28657-7714 | 2020-07-28 |
| 1770191835 | Brandy Sampson | Nurse Practitioner | 2900 Old House Cir, Matthews, NC 28105-7279 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | FUQUAY VARINA |
| Zip Code | 27526 |
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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.