MR. JAMES RANDALL JACOBS (NPI# 1740570977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740570977 |
| Entity Type | Individual |
| Full Name | MR. JAMES RANDALL JACOBS |
| Credential | LPN |
| Practice Address |
4101 Woolworth Ave Omaha NE 68105-1850 |
| Mailing Address |
13023 Crown Point Ave Omaha NE 68164-1367 |
| Practice Telephone | 4023468800 |
| Mailing Telephone | 4022120245 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 22050 | NE | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830939 | James N Jacobs | Behavior Technician | 7949 Crawford Farms Dr, Blacklick, OH 43004-9255 | 2018-05-09 |
| 1174708945 | James Edward Jacobs | Pharmacist | 1267 Harbert Ave, Apt 201, Memphis, TN 38104-4592 | 2007-12-29 |
| 1942493499 | James Alan Jacobs I | Spec/Tech, Cardiovascular | 21812 Midcrest Dr, Lake Forest, CA 92630-6587 | 2007-08-18 |
| 1821207416 | James Owen Jacobs | Dentist | 6555 Telephone Rd, Suite 1, Ventura, CA 93003-4460 | 2007-05-21 |
| 1609998939 | James A Jacobs | Social Worker | 2044 Saint Clair Ave, Saint Paul, MN 55105-1650 | 2007-04-06 |
| 1942349055 | James William Jacobs | Internal Medicine | 115 Crescentcommons Dr Ste 250, Cary, NC 27518-8134 | 2007-02-05 |
| 1588713978 | James Leland Jacobs | Psychologist | 123 Mudget Hill Rd, Vassalboro, ME 04989-4305 | 2007-01-09 |
| 1568528255 | James Harris Jacobs | Psychologist | 1708 Shattuck Avenue #2, Berkeley, CA 94709 | 2006-12-28 |
| 1902914708 | James Wynn Jacobs | Ophthalmology | 1436 Gunter Ave, Guntersville, AL 35976-1846 | 2006-08-29 |
| 1003895962 | James H Jacobs Jr. | Radiology | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 | 2006-01-10 |
| Street Address |
4101 WOOLWORTH AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68105-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598759870 | Allan Hancock | Dentist | 4101 Woolworth Ave, Dental Department 160, Omaha, NE 68105-1850 | 2005-09-01 |
| 1164034849 | Richard Dunn | Pharmacy Technician | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-08-23 |
| 1558979575 | Kristianna L Farley | Nurse Practitioner | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-07-15 |
| 1427671080 | Kelly Lea Baxter | Pharmacist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-05-18 |
| 1255954806 | Ashleigh Grammar | Pharmacist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-05-18 |
| 1437784170 | Chad Michael Conrad | Respiratory Therapist, Registered | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-03-03 |
| 1437783669 | Jordan Lynn Ruskamp | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2020-02-26 |
| 1467009902 | Michelle Marie Inzauro | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-08-20 |
| 1720633092 | Jacob Leons | Audiologist | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-08-05 |
| 1477118230 | Topacio Anahi Ortiz | Dietitian, Registered | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2019-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
| 1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
| 1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
| 1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
| 1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
| 1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
| 1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
| 1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
| 1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
| 1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
| Find all providers in zip 68105 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340636 | April C Chism-lytle | Licensed Practical Nurse | 7328 N 85th St, Omaha, NE 68122-1488 | 2020-09-12 |
| 1760092498 | Conisha S Price | Licensed Practical Nurse | 1822 N 48th St, Omaha, NE 68104-5110 | 2020-08-06 |
| 1093271967 | Regina Tate | Licensed Practical Nurse | 1805 N 110th Ave, Omaha, NE 68154-1607 | 2019-02-15 |
| 1821506593 | Kristy Kay Lanoue | Licensed Practical Nurse | 9801 W Center Rd, Omaha, NE 68124-1936 | 2018-01-16 |
| 1821505272 | Kathryn Sickler | Licensed Practical Nurse | 7618 Ridge Ave, Omaha, NE 68124-3416 | 2018-01-08 |
| 1982124111 | Tiffany L Butcher | Licensed Practical Nurse | 12310 Spencer St, Omaha, NE 68164-2584 | 2017-06-20 |
| 1396274684 | Carra Lynn Niverson | Licensed Practical Nurse | 4980 South 118th St., Omaha, NE 68137-2200 | 2017-06-08 |
| 1578098596 | Amy P Wilde | Licensed Practical Nurse | 1011 J St, Omaha, NE 68127-2200 | 2017-04-27 |
| 1043684996 | Maria Humphrey | Licensed Practical Nurse | 3406 Martin Ave, Omaha, NE 68112-2639 | 2015-11-16 |
| 1487673620 | Francine Lomax | Licensed Practical Nurse | 4980 S 118th St, Omaha, NE 68137-2200 | 2006-07-19 |
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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.