MS. GRACE JACOBSON (NPI# 1912494311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912494311 |
| Entity Type | Individual |
| Full Name | MS. GRACE JACOBSON |
| Credential | CNP |
| Practice Address |
201 Cedar St Se Ste S120 Albuquerque NM 87106-4900 |
| Mailing Address |
6101 Imperata St Ne Apt 2125 Albuquerque NM 87111-8023 |
| Practice Telephone | 5052480000 |
| Mailing Telephone | 8087410947 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
CNP-03505 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750920443 | Grace K Jacobson | Psychologist | 4500 Park Glen Rd Ste 450, St Louis Park, MN 55416-5190 | 2019-12-30 |
| Street Address |
201 CEDAR ST SE STE S120 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629443049 | The Fertility Center of New Mexico LLC | Obstetrics & Gynecology | 201 Cedar St Se Ste S120, Albuquerque, NM 87106-4900 | 2015-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386938553 | Dina Jene Reid | Nurse Practitioner | 11616 Snowheights Blvd Ne, Albuquerque, NM 87112-3158 | 2011-06-06 |
| 1174645113 | Joanne Marlene Williams | Nurse Practitioner | 8712 Chambers Pl Ne, Albuquerque, NM 87111-2138 | 2007-04-03 |
| 1538175377 | Ethel Mae Jorgensen | Nurse Practitioner | 719 San Mateo Blvd Ne, Albuquerque, NM 87108-1434 | 2006-08-01 |
| 1215953302 | Amy Jo Levi | Nurse Practitioner | Msc 09 5350, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-07-14 |
| 1467441709 | Donna Ann Ketcheson | Nurse Practitioner | 801 Encino Pl Ne Ste D5, Albuquerque, NM 87102-2644 | 2005-10-19 |
| 1003441601 | Lauren Larkin | Nurse Practitioner | 5150 San Francisco Rd Ne, Albuquerque, NM 87109-4640 | 2020-03-04 |
| 1245611011 | Julie Ann Hall | Nurse Practitioner | University of New Mexico Hospital, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2015-06-17 |
| 1003255639 | Nicole Ann Badillo | Nurse Practitioner | 4010 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2013-06-17 |
| 1245515907 | Erin Rae Flint | Nurse Practitioner | 201 Cedar Se #405, 405, Albuquerque, NM 87106-3392 | 2011-10-13 |
| 1891009650 | Katherine Reilly Behning | Nurse Practitioner | 1001 Coal Ave Se, Albuquerque, NM 87106-5205 | 2010-08-03 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on MS. GRACE JACOBSON.
| 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.