JACOB HEBERT (NPI# 1184225682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184225682 |
| Entity Type | Individual |
| Full Name | JACOB HEBERT |
| Practice Address |
177 Wenonah Rd Longmeadow MA 01106-1929 |
| Practice Telephone | 4136265010 |
| Mailing Telephone | 4136265010 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063772556 | Jacob Michael Hebert | Surgery | 102 Thomas Rd Ste 201, West Monroe, LA 71291-7365 | 2012-05-18 |
| 1992207161 | Jacob Arthur Hebert | Physical Medicine & Rehabilitation | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2018-03-05 |
| Street Address |
177 WENONAH RD |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797646 | Paula Arrigg | Counselor | 175 Dwight Road, Longmeadow, MA 01106 | 2020-10-14 |
| 1003429010 | Optimal Therapy Solutions, LLC | Clinic/Center | 127 Bel Air Drive, Longmeadow, MA 01106 | 2020-08-28 |
| 1164840666 | Erin Feller | Pediatrics | 123 Dwight Rd., Longmeadwod, MA 01106 | 2014-04-01 |
| 1255611299 | Christina Rose Lalime | Community Health Worker | 206 Bel Air Dive, Longmeadow, MA 01106 | 2011-08-22 |
| 1851503742 | Andrew M. Oxman | Counselor | 1200 Converse Street, Longmeadow, MA 01106 | 2007-05-04 |
| 1093833048 | Lilly Gaev | Social Worker | Therapeutic Associates PC, 167 Dwight Rd #104, Longmeadow, MA 01106 | 2007-03-27 |
| 1093840530 | Julie A Cox | Psychologist | 167 Dwight Rd #104, Therapeutic Associates PC, Longmeadow, MA 01106 | 2007-02-23 |
| 1932252897 | Karen Elizabeth Marsian | Podiatrist | 123 Dwight Road, Suite 13 W1, Longmeadow, MA 01106 | 2007-01-22 |
| 1386700227 | Visions of Longmeadow | Eyewear Supplier (Equipment, not the service) | 471 Longmeadow Street, Visions of Longmeadow, Longmeadow, MA 01106 | 2006-12-28 |
| 1437226701 | Richard T. Longo | Psychologist | 167 Dwight Road, Suite #104, Longmeadow, MA 01106 | 2006-11-29 |
| Find all providers in zip 01106 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506219 | Mona Yuan | Student in an Organized Health Care Education/Training Program | 52 Wellesley Dr, Longmeadow, MA 01106-2833 | 2020-04-06 |
| 1972136380 | Samantha Ilyssa Horowitz | Student in an Organized Health Care Education/Training Program | 23 Exeter Ave, Longmeadow, MA 01106-2139 | 2020-02-14 |
| 1922645738 | Nicholas Byrne | Student in an Organized Health Care Education/Training Program | 460 Bliss Rd, Longmeadow, MA 01106-1548 | 2019-12-01 |
| 1497313159 | Mia Francesca Russo | Student in an Organized Health Care Education/Training Program | 110 Lawnwood Ave, Longmeadow, MA 01106-3021 | 2019-05-29 |
| 1164996120 | Thomas Jones | Student in an Organized Health Care Education/Training Program | 159 Maple Rd, Longmeadow, MA 01106-3103 | 2019-01-14 |
| 1649715293 | Elizabeth Coverly-dey | Student in an Organized Health Care Education/Training Program | 770 Converse St, Longmeadow, MA 01106-1719 | 2017-01-05 |
| 1568856847 | Heather Tirpaeck | Student in an Organized Health Care Education/Training Program | 123 Dwight Rd, Longmeadow, MA 01106 | 2015-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356810 | Alyssa Collins | Student in an Organized Health Care Education/Training Program | 11 Porter Ln, West Dennis, MA 02670-2318 | 2020-11-03 |
| 1306447636 | Sarah Wieman | Student in an Organized Health Care Education/Training Program | 16 Blossom St Fl 1, Boston, MA 02114-3104 | 2020-11-03 |
| 1396346920 | Bridget Costello | Student in an Organized Health Care Education/Training Program | 171 Achilles Way, North Attleboro, MA 02763-4021 | 2020-11-01 |
| 1932709938 | Brianna Mae Duval | Student in an Organized Health Care Education/Training Program | 58 Colborne Rd, Boston, MA 02135-4103 | 2020-10-28 |
| 1992305338 | Rebecca Rivas | Student in an Organized Health Care Education/Training Program | 419 Court St, Brockton, MA 02302-2809 | 2020-10-26 |
| 1417556101 | Rachel Socolof | Student in an Organized Health Care Education/Training Program | 40 Boylston St Apt 1, Malden, MA 02148-7803 | 2020-10-22 |
| 1932707445 | Kennedy Tambi | Student in an Organized Health Care Education/Training Program | 68 Charles St, Fitchburg, MA 01420-7742 | 2020-10-16 |
| 1821696261 | Julia Elizabeth Erskine | Student in an Organized Health Care Education/Training Program | 119 Boston Ave Apt 1, Medford, MA 02155-3570 | 2020-10-16 |
| 1962000216 | Cidney Moscovitch | Student in an Organized Health Care Education/Training Program | 232 Chelsea St Apt 2, East Boston, MA 02128-1765 | 2020-10-09 |
| 1780281279 | Sarah Hamad Alsaggabi | Student in an Organized Health Care Education/Training Program | 55 Traveler St Apt 1310, Boston, MA 02118-2973 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | LONGMEADOW |
| Zip Code | 01106 |
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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.