TONIA JACOB (NPI# 1730551425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730551425 |
| Entity Type | Individual |
| Full Name | TONIA JACOB |
| Credential | APRN-CNP |
| Practice Address |
3400 Nw Expressway Building C, Suite 200 Oklahoma City OK 73112-4493 |
| Mailing Address |
5300 N Independence Ave Suite 280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 4057139900 |
| Practice Fax Number | 4057139920 |
| Mailing Telephone | 4057139900 |
| Mailing Fax Number | 4057139920 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2017-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
103325 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3400 NW EXPRESSWAY BUILDING C, SUITE 200 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016268 | Teresa Marie Shavney | Surgery | 3400 Nw Expressway, Suite 420, Oklahoma City, OK 73112-4493 | 2005-07-12 |
| 1225437155 | Melissa A Duke | Nurse Practitioner | 3400 Nw Expressway, Suite 200, Oklahoma City, OK 73112-4493 | 2014-08-15 |
| 1194003871 | Christopher D Carey Md Pllc | Surgery | 3400 Nw Expressway, Suite 420, Oklahoma City, OK 73112-4493 | 2011-07-28 |
| 1962707372 | Jesse Hart | Physician Assistant | 3400 Nw Expressway, Suite 200, Oklahoma City, OK 73112-4493 | 2011-01-14 |
| 1043531106 | Bradley Burget | Internal Medicine | 3400 Nw Expressway, Suite 500, Oklahoma City, OK 73112-4493 | 2010-06-11 |
| 1851616767 | Jeffrey Michael Shoss | Urology | 3400 Nw Expressway, Suite 700, Oklahoma City, OK 73112-4493 | 2010-04-02 |
| 1346478245 | Anil Regmi | Internal Medicine | 3400 Nw Expressway, Suite 700, Oklahoma City, OK 73112-4493 | 2009-06-30 |
| 1982871521 | Carrie Lee Eshelbrenner | Internal Medicine | 3400 Nw Expressway, Suite 200, Oklahoma City, OK 73112-4493 | 2008-05-13 |
| 1073788790 | Susan K Jones | Clinical Nurse Specialist | 3400 Nw Expressway, Bldg. C Suite 602, Oklahoma City, OK 73112-4493 | 2008-04-23 |
| 1538345137 | James Leo Orsi I | Social Worker | 3400 Nw Expressway, Suite 500, Oklahoma City, OK 73112-4493 | 2008-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483302 | Terri Lynn Quintero | Nurse Practitioner | 15701 S Pennsylvania Ave, Oklahoma City, OK 73170-8713 | 2020-10-06 |
| 1952917239 | Philomina Philipose | Nurse Practitioner | 8805 Nw 116th St, Oklahoma City, OK 73162-2220 | 2020-09-21 |
| 1376158295 | Ligi Abraham | Nurse Practitioner | 4200 W Memorial Rd Ste 206, Oklahoma City, OK 73120-8305 | 2020-09-09 |
| 1487266532 | Carla Jo Walker | Nurse Practitioner | 1325 N Walker Ave Apt 357, Oklahoma City, OK 73103-6409 | 2020-08-20 |
| 1396356143 | Deshell Ravette Tillman | Nurse Practitioner | 2621 N Sterling Ave, Oklahoma City, OK 73127-1919 | 2020-08-14 |
| 1225656549 | Simon Wellness LLC | Nurse Practitioner | 9321 Sw 23rd St, Oklahoma City, OK 73128-1840 | 2020-07-13 |
| 1831717396 | Caitlin Raylynn Stenberg | Nurse Practitioner | 1000 N Lincoln Blvd Ste 3200, Oklahoma City, OK 73104-3252 | 2020-07-10 |
| 1467078113 | Jaanki Bhakta | Nurse Practitioner | 9116 Sw 24th St, Oklahoma City, OK 73128-4903 | 2020-06-18 |
| 1629699244 | Tanya Cates | Nurse Practitioner | 5529 Bush Creek Way, Oklahoma City, OK 73117-8440 | 2020-05-05 |
| 1922629054 | Heather Amanda Chin Hwa Rutledge | Nurse Practitioner | 7800 Sw 87th Cir, Oklahoma City, OK 73169-7800 | 2020-04-29 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on TONIA JACOB.
| 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.