MRS. TARA ELIZABETH JACOBSON (NPI# 1801865977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801865977 |
| Entity Type | Individual |
| Full Name | MRS. TARA ELIZABETH JACOBSON |
| Credential | BS |
| Practice Address |
2210 S Tamiami Trail #10 Venice FL 34293 |
| Practice Telephone | 9414977742 |
| Practice Fax Number | 9414977683 |
| Mailing Telephone | 9414977742 |
| Mailing Fax Number | 9414977683 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2210 S TAMIAMI TRAIL #10 |
| City | VENICE |
| State | FL |
| Zip Code | 34293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1841847720 | Joseph Matthew Adkins | Nurse Practitioner | 417 Lake of The Woods Dr, Venice, FL 34293 | 2019-08-24 |
| 1861047375 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12165 Mercado Drive, Venice, FL 34293 | 2019-08-02 |
| 1265084107 | Safecare Transport, LLC | Non-emergency Medical Transport (VAN) | 18821 Bianchi Strret, Venice, FL 34293 | 2019-07-11 |
| 1932621869 | Mike Andry | Hearing Instrument Specialist | 4238 S. Tamiami Trail, Venice, FL 34293 | 2017-07-12 |
| 1659729861 | Danielle Gibellina | Occupational Therapy Assistant | 1507 S. Tuttle Ave, Magnolia Rehabilitation Center, Sarasota, FL 34293 | 2016-05-27 |
| 1891142501 | Jessica Kontoes | Behavioral Analyst | 19503 West Villages Parkway, A11, Venice, FL 34293 | 2016-05-23 |
| 1093161770 | Jillian Hinds | Behavioral Analyst | 19503 West Villages Pkwy, A11, Venice, FL 34293 | 2016-05-11 |
| 1003211509 | Roselle Joyce Beltran | Physical Therapist | 5865 Osprey Road, Venice, FL 34293 | 2014-10-27 |
| 1144649799 | Wendy Zinck-ladd | Case Manager/Care Coordinator | 19503 S.w.villages Parkway, Bldg. A, North Port, FL 34293 | 2014-04-10 |
| Find all providers in zip 34293 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1073758926 | Charles Jeffrey Sandoz | Counselor | 530 Us Highway 41 Byp S, Suite 4a, Venice, FL 34285-4750 | 2008-12-06 |
| 1194323659 | Antonio De Jesus Sanchez | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2020-10-15 |
| 1164045886 | Vincent Giovanni Cruz | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2020-05-28 |
| 1699397125 | Gerardo Rojas | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2020-05-06 |
| 1750926408 | Michel Ferguson | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2019-11-15 |
| 1881239739 | Barron Lesean Carter | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2019-11-14 |
| 1457901589 | Daniel John Bouchard | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2019-09-20 |
| 1093360331 | Sandra Diane Kellar | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2019-08-05 |
| 1972162642 | Jannette Martinez | Counselor | 503 Ocean Front Walk, Venice, CA 90291-2403 | 2019-06-06 |
| Find all providers in VENICE | ||||
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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.