MS. ELLEN R JACOBSON (NPI# 1962456772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962456772 |
Entity Type | Individual |
Full Name | MS. ELLEN R JACOBSON |
Credential | M.D. |
Practice Address |
4515 Harding Rd Suite 310 Nashville TN 37205 |
Mailing Address |
3024 Business Park Circle Goodlettsville TN 37072-3132 |
Practice Telephone | 6152795656 |
Practice Fax Number | 6152795602 |
Mailing Telephone | 6158516033 |
Mailing Fax Number | 6158512018 |
Enumeration Date | 2006-05-19 |
Last Update Date | 2017-05-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | MD0000019503 | TN | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BCBS | 6049042 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
Street Address |
4515 HARDING RD SUITE 310 |
City | NASHVILLE |
State | TN |
Zip Code | 37205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558350348 | Harold Edwin Fredericks | Dentist | 4515 Harding Rd, Suite 111, Nashville, TN 37205-2118 | 2005-10-14 |
1508022948 | Belle Meade Pain & Spinal Rehab Center, Pllc | Clinic/Center | 4515 Harding Rd, Suite 110, Nashville, TN 37205-2118 | 2008-08-05 |
1306026331 | Heartland Dental Care of Tennessee, PC | Dentist | 4515 Harding Rd, Suite 104, Nashville, TN 37205-2118 | 2007-11-07 |
1619986791 | Phillip Palmer Shipp Iv | Dentist | 4515 Harding Rd, Suite 312, Nashville, TN 37205 | 2006-08-06 |
1942282629 | Martin Anderson Nunn | Dentist | 4515 Harding Rd, Suite 112, Nashville, TN 37205-2118 | 2005-11-17 |
1215926753 | George Austin Adams Jr. | Dentist | 4515 Harding Rd, Suite 114, Nashville, TN 37205-2118 | 2005-10-18 |
1871582445 | George Austin Adams Sr. | Dentist | 4515 Harding Rd, Suite 114, Nashville, TN 37205-2118 | 2005-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316548191 | Anne Nicole Koethe | Nurse Practitioner | Saint Thomas Medical Group, 4230 Harding Pike #503, Nashville, TN 37205 | 2020-11-06 |
1396307260 | Tyler G Smith | Dentist | 104 Kenner Ave., Suite #101, Nashville, TN 37205 | 2019-07-01 |
1487129508 | The Counseling Center At Belle Meade United Methodist Church, LLC | Counselor | Counseling Center At Belle Meade Umc, 121 Davidson Road, Nashville, TN 37205 | 2018-10-04 |
1932592953 | Generations Behavioral Health LLC | Psychiatric Hospital | 4423 Forsythe Place, Nashville, TN 37205 | 2015-03-16 |
1114323284 | Caroline Rhett Hartman | Counselor | 85 White Bridge Road, Ste 302, Nashville, TN 37205 | 2014-11-17 |
1619316387 | Sarah Jane Grayce | Psychiatry & Neurology | 85 White Bridge Rd Ste 302, Nashville, TN 37205 | 2013-06-17 |
1902142920 | Smita K Rao | Genetic Counselor, MS | 4220 Harding Pike Ste 200, Nashville, TN 37205 | 2012-12-19 |
1225386154 | Jessica Blain Trumble | Registered Nurse | 204 Carden Ave, Nashville, TN 37205 | 2012-08-27 |
1962778167 | Bryan Richard Hay | Internal Medicine | 4320 Harding Pike Ste 503, Nashville, TN 37205 | 2012-04-02 |
1184998064 | Christopher Snider | Specialist/Technologist, Other | 738 Templeton Dr, Nashville, TN 37205 | 2012-02-24 |
Find all providers in zip 37205 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053832121 | Top Flight Medical | Specialist | 301 28th Ave N Fl 1, Nashville, TN 37203-1439 | 2017-06-29 |
1942742655 | Sarah Keene | Specialist | 2401 Belmont Blvd, Nashville, TN 37212-5503 | 2016-11-11 |
1740640077 | Billy Johnson Jr. | Specialist | 417 Woodsman Ct, Nashville, TN 37214-4345 | 2016-02-29 |
1508246364 | Gertrude Stone Md Pllc | Specialist | 4230 Harding Pike Ste 801, Nashville, TN 37205-2018 | 2015-06-05 |
1487075248 | John Robert Schweikert | Specialist | 5913 Sedberry Rd, Nashville, TN 37205-3248 | 2013-12-21 |
1861836298 | 9 Months and Beyond, LLC | Specialist | 2803 Columbine Pl, Nashville, TN 37204-3103 | 2013-04-29 |
1942542238 | Marcia Jefferson | Specialist | 3810 Bedford Ave, Suite 120, Nashville, TN 37215-2514 | 2013-03-25 |
1366784720 | Cynthia C. Carter, LLC | Specialist | 2133 Belcourt Ave, Nashville, TN 37212-3503 | 2013-03-25 |
1740525989 | P3: Precision Physical Therapy & Pilates, LLC | Specialist | 3415 W End Ave Ste F, Nashville, TN 37203-1077 | 2012-11-28 |
1033475066 | Huiying Wang | Specialist | Vanderbilt Medical Center C-3321 Medical Center North, Nashville, TN 37232 | 2012-04-03 |
Find all providers in NASHVILLE |
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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.