KRISTINA KAHLE JACOBSEN (NPI# 1134624133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134624133 |
| Entity Type | Individual |
| Full Name | KRISTINA KAHLE JACOBSEN |
| Credential | R.T.(R) |
| Practice Address |
350 W Thomas Rd Phoenix AZ 85013-4409 |
| Mailing Address |
232 W 9th Pl N Mesa AZ 85201-4261 |
| Practice Telephone | 6024066700 |
| Mailing Telephone | 4802354634 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 564028 | AZ | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
350 W THOMAS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795415 | Select Specialty Hospital - Phoenix Inc | Long Term Care Hospital | 350 W Thomas Rd, 3rd Flr, Phoenix, AZ 85013-4409 | 2005-07-26 |
| 1053928267 | Zion Specialty Pllc | Specialist | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-09-30 |
| 1598370603 | Park Central Anesthesia | Anesthesiology | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-09-15 |
| 1760093553 | Marissa Karrina Lopez | Nurse Practitioner | 350 W Thomas Rd, Phoenix, AZ 85013-4496 | 2020-08-13 |
| 1497373252 | Bernardo De Andrada Pereira | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-07-08 |
| 1700403185 | Janae Marie Herrera | Registered Nurse | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-07-01 |
| 1649896267 | Benjamin Craig Seleen | Nurse Practitioner | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-06-19 |
| 1588285902 | Chandra Marie Tontsch | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4496 | 2020-04-27 |
| 1568083970 | Cody Wong | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-04-27 |
| 1427678200 | Timothy Eugene Hollowed | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4496 | 2020-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| 1629278452 | Michelle C Depalma | Radiologic Technologist | 2139 W Vista Ave, Phoenix, AZ 85021-7041 | 2007-07-19 |
| 1407053804 | Bradley Brask | Radiologic Technologist | 2 N Central Ave, Suite 170-284, Phoenix, AZ 85004-2322 | 2007-06-29 |
| 1437763620 | Wandaliz Dhiman | Radiologic Technologist | 21001 N Tatum Blvd, Phoenix, AZ 85050-4206 | 2020-09-03 |
| 1780031583 | Ashley Beverly | Radiologic Technologist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2016-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974026 | Scottsdale Healthcare Corp | Radiologic Technologist | 20745 N Scottsdale Rd Ste 100, Scottsdale, AZ 85255-6453 | 2020-02-20 |
| 1710427422 | Brad Elg | Radiologic Technologist | 641 E 25th Pl, Yuma, AZ 85365-2701 | 2017-02-28 |
| 1164961355 | Kathleen Brown | Radiologic Technologist | 14226 Calabasas Road, Yucca, AZ 86438 | 2017-02-21 |
| 1124490693 | Therdo Brooks IIi | Radiologic Technologist | 14450 W Avalon Dr, Goodyear, AZ 85395-8315 | 2015-10-23 |
| 1497164388 | Michael Maestas | Radiologic Technologist | 4291 N Campbell Ave, Tucson, AZ 85719 | 2014-08-05 |
| 1679991749 | Heather Ann Lemons | Radiologic Technologist | 167 Noth Main Street, Tuba City, AZ 86045-0600 | 2014-04-04 |
| 1386926798 | Ben S Stehower | Radiologic Technologist | 805 Whipple St Ste A, Prescott, AZ 86301-1617 | 2011-09-12 |
| 1851607675 | Sheila Diane Andrea | Radiologic Technologist | 11405 N Crestview St., Flagstaff, AZ 86004-5215 | 2010-08-31 |
| 1871818492 | Stacy Talahytewa II | Radiologic Technologist | Hwy 264 Mile Post 388, Polacca, AZ 86042 | 2010-04-07 |
| 1891010807 | Marjorie Chinnock | Radiologic Technologist | M.p. 388 State Route 264, Polacca, AZ 86042-4000 | 2010-04-01 |
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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.