SUSAN E. JACOBSON (NPI# 1063541977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063541977 |
| Entity Type | Individual |
| Full Name | SUSAN E. JACOBSON |
| Other Name | SUSAN E. LOFTUS |
| Credential | NP |
| Practice Address |
3020 Javier Rd Inova Behavioral Health Fairfax VA 22031-4609 |
| Mailing Address |
4131 Evergreen Dr Fairfax VA 22032-1018 |
| Practice Telephone | 7032897585 |
| Practice Fax Number | 7032894612 |
| Mailing Telephone | 7032897560 |
| Mailing Fax Number | 7032894612 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2011-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
001500246 | VA | Nursing Service Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024167284 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
0015000246 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1730388737 | Susan Bogen Jacobson | Counselor | 4710 N.w. 14th Street, Suite #104, Boca Raton, FL 33431 | 2007-07-11 |
| 1992250435 | Susan Jacobson | Physical Therapist | 5550 Tuckerman Ln, North Bethesda, MD 20852-4683 | 2016-08-24 |
| 1598161283 | Susan Jacobson | Pharmacist | 179 Longwood Ave, Boston, MA 02115-5804 | 2014-11-07 |
| 1023442613 | Susan Rae Jacobson | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2013-08-30 |
| 1881906188 | Susan Diane Jacobson | Licensed Practical Nurse | 1860 Coburg Rd, Eugene, OR 97401-4945 | 2010-07-02 |
| 1730316167 | Susan Jacobson | Psychologist | 310 E Shore Rd, Suite 301, Great Neck, NY 11023-2410 | 2009-06-11 |
| 1326259805 | Susan R Jacobson | Physical Therapist | 303 E 2nd St, Minneota, MN 56264-9224 | 2007-05-25 |
| 1114139607 | Susan Jacobson | Social Worker | 5560 Sterrett Pl, Suite 205, Columbia, MD 21044-2601 | 2007-05-04 |
| 1639254303 | Susan J. Jacobson | Internal Medicine | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2006-10-25 |
| Street Address |
3020 JAVIER RD INOVA BEHAVIORAL HEALTH |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063757326 | Kelly Elizabeth Zadow | Counselor | 3020 Javier Rd, Fairfax, VA 22031-4609 | 2012-11-27 |
| 1902158124 | Joseph P Wiley | Counselor | 3020 Javier Rd, Fairfax, VA 22031-4609 | 2012-10-11 |
| 1669724456 | Lara H Weaver | Social Worker | 3020 Javier Rd, Fairfax, VA 22031-4609 | 2012-10-04 |
| 1750692307 | Gail Leslie Grandela | Counselor | 3020 Javier Rd, Fairfax, VA 22031-4609 | 2010-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124040860 | Susan Dempsey Lyle | Registered Nurse | 3950 Chain Bridge Road, Fairfax, VA 22030 | 2006-07-24 |
| 1255939955 | Alyssa Grace Honesty | Registered Nurse | 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 | 2020-10-14 |
| 1790828358 | Gloria Larson-jadali | Registered Nurse | 4113 Stevenson St, Stevenson Place, Fairfax, VA 22030-5617 | 2007-02-14 |
| 1912920083 | Catherine Elizabeth White | Registered Nurse | 10520 Judicial Dr, Fairfax, VA 22030-5115 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235764309 | Kimberly Bailey Dexter | Registered Nurse | 5647 Liberty Manor Circle, Woodbridge, VA 22193-2219 | 2020-03-09 |
| 1710521299 | Bozena Krystyna Harper | Registered Nurse | 2339 Barbour Rd, Falls Church, VA 22043-3027 | 2019-10-29 |
| 1740751163 | Darlene W. Johnson | Registered Nurse | 5000 Marta Ln, Chesapeake, VA 23321-1594 | 2018-12-11 |
| 1588182315 | Amy Chappell Parke | Registered Nurse | 20 W Bank St Ste 3, Petersburg, VA 23803-3279 | 2017-08-31 |
| 1295132421 | Cathy D Ramey | Registered Nurse | 307 Grand Ave Ne, Coeburn, VA 24230-4052 | 2014-12-03 |
| 1205232097 | Danielle Mareene Lafollette | Registered Nurse | 494 N Main St Ste 300, Woodstock, VA 22664-1703 | 2014-11-06 |
| 1922348713 | Mary Ball Brown | Registered Nurse | 1761 Old Meadow Rd, Mc Lean, VA 22102-4315 | 2013-02-15 |
| 1366793002 | Rebecca Ely Johnson | Registered Nurse | 1508 3rd Ave. East, Big Stone Gap, VA 24219 | 2012-09-20 |
| 1427386127 | Karen Nelson Davis | Registered Nurse | 9149 Chatham Grove Ln, Richmond, VA 23236-1163 | 2009-11-18 |
| 1497935761 | Corinne Dolores Gibson | Registered Nurse | 175 Military Ln, Gate City, VA 24251-2874 | 2007-11-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUSAN E. 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.