LYNANNE JACOB (NPI# 1821367160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821367160 |
| Entity Type | Individual |
| Full Name | LYNANNE JACOB |
| Credential | R.N. |
| Practice Address |
2222 Bancroft Way Berkeley CA 94720-4301 |
| Practice Telephone | 5106421814 |
| Practice Fax Number | 5106432997 |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1400X |
Registered Nurse Specialization: College Health |
214049 | CA | Nursing Service Providers |
| Street Address |
2222 BANCROFT WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94720-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821033309 | Anna Ylva Bloxham Harte | Internal Medicine | 2222 Bancroft Way, #4300, Berkeley, CA 94720-4300 | 2006-06-18 |
| 1447869813 | Zdravko Rozic | Counselor | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-30 |
| 1518576107 | Joshua Lee | Counselor | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-29 |
| 1689283939 | Jazmin Rodriguez-jordan | Dietitian, Registered | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-07-23 |
| 1356976542 | Melissa Lock | Pharmacist | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-03-08 |
| 1508490566 | Samuel Haile Melles | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-28 |
| 1568096667 | Camille Burkley | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-27 |
| 1053942425 | Xiaoxia Song | Psychologist | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2020-02-03 |
| 1427697457 | Joni-jay Hayes | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2019-12-20 |
| 1275171175 | Robert Pelletier | Registered Nurse | 2222 Bancroft Way, Berkeley, CA 94720-4301 | 2019-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
| 1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
| 1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
| 1811199615 | Ellen De Neef | Physical Therapist | 2222 Bancroft, Berkeley, CA 94720 | 2007-06-04 |
| 1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
| 1619049285 | Vikki V. Yu | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 | 2006-11-15 |
| 1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
| 1154949899 | Thuy-trang Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2020-07-09 |
| 1619498656 | Celia R Gong | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2017-06-29 |
| 1790234680 | Kelsey Lindquist | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720 | 2016-10-03 |
| Find all providers in zip 94720 | ||||
| Taxonomy Code | 163WC1400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | College Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710231865 | Sara M Sloan | Registered Nurse | 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 | 2012-10-27 |
| 1881950921 | Elizabeth Gorelick | Registered Nurse | 2222 Bancroft, Berkeley, CA 94720 | 2012-04-03 |
| 1376812529 | Kathleen Anne Ferris | Registered Nurse | 2222 Bancroft Way, Uhs Tang Center, Berkeley, CA 94720-4300 | 2011-12-16 |
| 1316240823 | Lisa Polley | Registered Nurse | 2222 Bancroft Way, 1140, Berkeley, CA 94720-4301 | 2010-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729938 | Alyson Wycoff | Registered Nurse | Student Health Service Mc7002, University of California Building 588, Santa Barbara, CA 91036-7002 | 2020-01-17 |
| 1952959447 | Sarah Ann Haugh | Registered Nurse | Student Health Service University of California, Santa Barbara, CA 93106-0001 | 2019-08-28 |
| 1104380732 | Jeremy Thio | Registered Nurse | 4800 Magnolia Ave Dept 1293, Riverside, CA 92506-1293 | 2019-01-28 |
| 1669674065 | Carol A Hill | Registered Nurse | 501 E Peltason, Irvine, CA 92697-0001 | 2007-06-05 |
| 1689740722 | Susan Hillary Mykita | Registered Nurse | 4700 College Oak Dr, American River College, Sacramento, CA 95841-4217 | 2006-11-28 |
| 1760093074 | Denise Palecek | Registered Nurse | 1 University Cir, Building 29, Turlock, CA 95382-3200 | 2020-08-11 |
| 1568072585 | Lisa Thomas | Registered Nurse | 757 N College Way, Claremont, CA 91711-3944 | 2020-08-04 |
| 1598382095 | Briana April Miller | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-7131 | 2020-06-30 |
| 1629617139 | Nico Jay Gamayon Camia | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2019-12-31 |
| 1295396927 | Robin Rafael | Registered Nurse | 221 Westwood Plaza, Los Angeles, CA 90095-0001 | 2019-06-24 |
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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.