KAYLA JACOBS (NPI# 1205476165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205476165 |
| Entity Type | Individual |
| Full Name | KAYLA JACOBS |
| Practice Address |
812 Candy Park Rd Pembroke NC 28372-9120 |
| Mailing Address |
1153 Red Hill Rd Maxton NC 28364-8085 |
| Practice Telephone | 9105210201 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-09695 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-09695 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2301 Robeson St, Fayetteville, NC 283055640 | 9104844100 | |
| 2414 Hope Mills Rd, Fayetteville, NC 283044264 | 9104242426 | |
| 400 Liberty Hill Rd, Lumberton, NC 283582446 | 9107393318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487634 | Kayla Dawn Jacobs | Physical Therapist | 1515 2nd Ave W, Williston, ND 58801-4108 | 2019-09-26 |
| Street Address |
812 CANDY PARK RD |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372-9120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275534968 | Joseph T Bell | Pediatrics | 812 Candy Park Rd, Pembroke, NC 28372-9129 | 2005-08-03 |
| 1568843688 | Rsb Faircloth Inc | Pharmacy | 812 Candy Park Rd, Pembroke, NC 28372-9129 | 2015-06-15 |
| 1790191765 | Mcpc-5, LLC | Internal Medicine | 812 Candy Park Rd, Pembroke, NC 28372-9120 | 2014-07-10 |
| 1326478199 | April Whittemore Locklear | Counselor | 812 Candy Park Rd, Pembroke, NC 28372-9129 | 2013-11-15 |
| 1093144784 | Millicent Joy Locklear | Nurse Practitioner | 812 Candy Park Rd, Pembroke, NC 28372-9129 | 2013-11-04 |
| 1508208166 | Cierra Harris Leviner | Speech-Language Pathologist | 812 Candy Park Rd, Suite 7101a, Pembroke, NC 28372-9129 | 2013-07-24 |
| 1962746644 | Speech N Progress, Inc. | Speech-Language Pathologist | 812 Candy Park Rd, Suite 7101 A, Pembroke, NC 28372-9129 | 2012-11-19 |
| 1952645723 | Faline Dial | Speech-Language Pathologist | 812 Candy Park Rd, Suite 7101a, Pembroke, NC 28372-9129 | 2012-11-19 |
| 1073860045 | Private Diagnostic Clinic, Pllc | Internal Medicine | 812 Candy Park Rd, Pembroke, NC 28372-9129 | 2012-08-09 |
| 1992078489 | Carenet, Inc. | Counselor | 812 Candy Park Rd, Pembroke, NC 28372-9129 | 2012-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811464415 | Teresa Mariam Fatemi | Physician Assistant | 124 Pilgrim Rd, Pembroke, MA 02359-1940 | 2018-11-01 |
| 1477000735 | Elizabeth Locklear | Physician Assistant | 498 Whistling Rufus Rd, Pembroke, NC 28372-8380 | 2016-09-04 |
| 1578887568 | Coy Watkins | Physician Assistant | 244 Ledford St 1188, Pembroke, GA 31321-1188 | 2010-03-18 |
| 1902363153 | Karen Rose Betz | Physician Assistant | 102 Livermore Dr, Pembroke, NC 28372-7270 | 2019-02-25 |
| 1689172868 | Tyler Elliott Dial | Physician Assistant | 923 W 3rd St, Pembroke, NC 28372-9628 | 2018-01-23 |
| 1295180206 | Cari Susann Mayers | Physician Assistant | 307 E Wardell Dr, Pembroke, NC 28372 | 2016-04-27 |
| 1144609595 | Cynthia Anne Tranchemontagne | Physician Assistant | 121 Pembroke St, Pembroke, NH 03275-1311 | 2015-05-19 |
| 1669720736 | Kimberly Elizabeth Lennox | Physician Assistant | 28 Riverside Dr, Pembroke, MA 02359 | 2012-08-21 |
| 1467767053 | Suzette Renee Oxendine | Physician Assistant | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2010-08-09 |
| 1972833838 | Promptcare Clinic, Pllc | Physician Assistant | 201 Livermore Dr, Suite 1, Pembroke, NC 28372-7322 | 2009-12-28 |
| Find all providers in PEMBROKE | ||||
Please comment or provide details below to improve the information on KAYLA JACOBS.
| 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.