LAURA ELIZABETH JACOBS (NPI# 1225474935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225474935 |
| Entity Type | Individual |
| Full Name | LAURA ELIZABETH JACOBS |
| Credential | MS CCC-SLP |
| Practice Address |
13890 Braddock Rd Suite 205 Centreville VA 20121-2435 |
| Mailing Address |
2765 Jefferson Davis Hwy Suite 209 Stafford VA 22554-8331 |
| Practice Telephone | 5407202261 |
| Practice Fax Number | 5407205660 |
| Mailing Telephone | 5407202261 |
| Mailing Fax Number | 5407205660 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2202006663 | VA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568939189 | Laura Ettlin Jacobs | Physical Therapist | 3915 Golden Valley Rd # Trp, Golden Valley, MN 55422-4249 | 2018-11-01 |
| 1740780220 | Laura L Jacobs | Licensed Vocational Nurse | 4921 Vz County Road 3812, Wills Point, TX 75169-5513 | 2018-02-20 |
| 1477719516 | Laura A Jacobs | Social Worker | 119 Western Hwy, West Nyack, NY 10994-2601 | 2008-07-29 |
| 1679794358 | Laura Charlotte Jacobs | Occupational Therapist | 20 Westwood Medical Park, Bluefield, VA 24605-2003 | 2007-05-01 |
| 1407875818 | Laura Norene Jacobs | Counselor | 2365 W Sumaya Pl, Tucson, AZ 85741-3708 | 2006-07-18 |
| 1710435987 | Laura Jacobs | Nurse Practitioner | 2000 Church St, Nashville, TN 37236-1471 | 2016-09-16 |
| 1932657673 | Laura Jacobs | Counselor | 200 Hoosier Dr Ste E, Angola, IN 46703-9349 | 2016-09-12 |
| 1265838064 | Laura Zell Jacobs | Counselor | 1513 Sports Dr, 100, Sacramento, CA 95834-1943 | 2014-11-06 |
| 1770851370 | Laura L Jacobs | Physical Therapist | 1288 Sw Simpson Ave, Suite F, Bend, OR 97702-3195 | 2011-12-09 |
| 1982982344 | Laura Ann Jacobs | Nurse Practitioner | 6159 1st Financial Dr, St. Elizabeth Physicians, Burlington, KY 41005-7892 | 2011-08-02 |
| Street Address |
13890 BRADDOCK RD SUITE 205 |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20121-2435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912252 | Kenneth Robert Bergman | Allergy & Immunology | 13890 Braddock Rd, Ste 206, Centreville, VA 20121-2437 | 2005-06-15 |
| 1023556354 | Alexandra Miceli | Occupational Therapist | 13890 Braddock Rd, Ste. 207, Centreville, VA 20121-2435 | 2017-02-07 |
| 1538607254 | Kinder Life Pediatrics | Pediatrics | 13890 Braddock Rd, Suite 205, Centreville, VA 20121-2435 | 2017-02-01 |
| 1306201736 | Asma Jamil | Physician Assistant | 13890 Braddock Rd, #100, Centreville, VA 20121-2435 | 2015-12-30 |
| 1841672052 | Michael Mahoney Jr. | Speech-Language Pathologist | 13890 Braddock Rd, Ste. 207, Centreville, VA 20121-2435 | 2015-06-24 |
| 1427438118 | N&s Dental Group | Dentist | 13890 Braddock Rd, 202, Centreville, VA 20121-2435 | 2015-06-08 |
| 1356721419 | Kelly Anne Fini | Physical Therapist | 13890 Braddock Rd, Ste 207, Centreville, VA 20121-2435 | 2015-06-04 |
| 1265832398 | Jacqueline Michelle Stiles | Physical Therapist | 13890 Braddock Rd, Suite 102, Centreville, VA 20121-2435 | 2014-08-26 |
| 1053747543 | Youngchul Jang | Chiropractor | 13890 Braddock Rd, Suite 200, Centreville, VA 20121-2435 | 2013-09-17 |
| 1477991990 | Jennifer Michelle Skaggs | Speech-Language Pathologist | 13890 Braddock Rd, Suite 205, Centreville, VA 20121-2435 | 2013-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356906994 | Everyone Inc. | Durable Medical Equipment & Medical Supplies | 6362 James Harris Way, Centreville, VA 20121 | 2019-05-09 |
| 1154845139 | Dien Tu | Pharmacist | 6321 Powder Flask Ct., Centreville, VA 20121 | 2017-08-01 |
| 1053865337 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Highway, #109b, Centreville, VA 20121 | 2016-08-04 |
| 1265829808 | Trisha Yamamoto | Chiropractor | 14215 E. Centreville Square, Centreville, VA 20121 | 2015-04-21 |
| 1811305733 | Catherine Elizabeth Sims, LLC | Clinic/Center | 6705 Bay Valley Lane, Centreville, VA 20121 | 2014-07-23 |
| 1194138438 | All In A Day Senior Care Services.com | Home Health | 6913 Confederate Ridge Lane, Centerville, VA 20121 | 2014-06-04 |
| 1447519483 | James Hamilton | Occupational Therapy Assistant | 6220 William Mosby Dr, Centreville, VA 20121 | 2012-05-11 |
| 1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
| 1134426372 | One Stop Pharmacy Inc | Pharmacy | 13818-b Braddock Rd, Centreville, VA 20121 | 2011-02-24 |
| 1225267495 | Michael Andrew Hartman | Family Medicine | 6201 Centerville Rd, # 100, Centreville, VA 20121 | 2009-07-09 |
| Find all providers in zip 20121 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007684 | Marcianne Kristof | Speech-Language Pathologist | 6901 Sharpsburg Dr, Centreville, VA 20121-2519 | 2020-09-09 |
| 1457846859 | Kendel Margaret Taft | Speech-Language Pathologist | 6608 Ashmere Ln, Centreville, VA 20120-3753 | 2018-06-27 |
| 1912406521 | Jayeeta Purkayastha | Speech-Language Pathologist | 14679 Seasons Dr, Centreville, VA 20120-6014 | 2018-02-09 |
| 1487152591 | Megan Bodtmann | Speech-Language Pathologist | 316 Clarks Corner Rd, Centreville, MD 21617-2238 | 2018-01-24 |
| 1851834907 | Lindsay Colello | Speech-Language Pathologist | 5965 Havener House Way, Centreville, VA 20120-3209 | 2016-11-22 |
| 1407217334 | Jennifer Suzanne Castilleja | Speech-Language Pathologist | 6325 Cider Barrel Cir, Centreville, VA 20121-5602 | 2016-03-20 |
| 1093193203 | Megan Quinn Thorburn | Speech-Language Pathologist | 175 Ashland Dr, Centreville, MD 21617-2842 | 2015-05-08 |
| 1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
| 1720376270 | The Reading and Language Learning Center | Speech-Language Pathologist | 14602 Battery Ridge Ln, Centreville, VA 20120-2883 | 2011-07-19 |
| 1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 20121 |
Please comment or provide details below to improve the information on LAURA ELIZABETH 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.