MRS. JENNIE JACOB (NPI# 1255717773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255717773 |
Entity Type | Individual |
Full Name | MRS. JENNIE JACOB |
Practice Address |
535 N Wilmot Rd Children's Multispecialty Center: Newborn Follow Up Tucson AZ 85711-2600 |
Mailing Address |
1501 N Campbell Ave Therapy Services Tucson AZ 85724-0001 |
Practice Telephone | 5206949988 |
Mailing Telephone | 5206946341 |
Enumeration Date | 2015-08-06 |
Last Update Date | 2015-08-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
9433 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003341249 | Jennie Jacob | Pharmacist | 555 Castro St, Mountain View, CA 94041-2009 | 2017-04-25 |
1255695003 | Jennie Z Jacob | Physician Assistant | 24 Research Way, Setauket, NY 11733-3487 | 2012-06-26 |
Street Address |
535 N WILMOT RD CHILDREN'S MULTISPECIALTY CENTER: NEWBORN FOLLOW UP |
City | TUCSON |
State | AZ |
Zip Code | 85711-2600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487626222 | Brent Jon Barber | Pediatrics | 535 N Wilmot Rd, Suite #101, Tucson, AZ 85711 | 2006-02-06 |
1982234068 | Jeffrey Scott Dixon | Social Worker | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2020-01-17 |
1285142638 | Matthew Moffitt | Psychologist | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2018-01-19 |
1689189052 | Lisa Ann Rauch | Counselor | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2017-12-07 |
1578910485 | Banner -- University Medical Group | Clinic/Center | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2016-05-20 |
1568818649 | Banner -- University Medical Group | Clinic/Center | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2016-05-09 |
1760847180 | Carol Watters | Social Worker | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2015-12-30 |
1871994350 | Terry Eisenberg Carrilio | Social Worker | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2014-09-15 |
1912320110 | Allison Nicole Crawford | Nurse Practitioner | 535 N Wilmot Rd, Ste 101, Tucson, AZ 85711 | 2014-01-24 |
1629206115 | Victoria Ana Sanguineti | Internal Medicine | 535 N Wilmot Rd, Suite 101, Tucson, AZ 85711-2600 | 2009-06-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
Find all providers in zip 85711 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427242551 | Daniel T Anich | Physical Therapist | 7282 W Rivulet Dr, Tucson, AZ 85743-8974 | 2007-08-31 |
1528270618 | Diane Marie Kimmet | Physical Therapist | 5440 N Waterfield Dr, Tucson, AZ 85750-6471 | 2007-05-03 |
1184782187 | Linda Horowitz | Physical Therapist | 6781 N Avenida De Las Palazas, Tucson, AZ 85750-1289 | 2006-12-04 |
1548359508 | Margaret M Campbell | Physical Therapist | 4250 N Summer Set Drive, Tucson, AZ 85750-6520 | 2006-10-11 |
1316999162 | Jill Kathleen Martindale | Physical Therapist | 4710 N Paseo Aquimuri, Tucson, AZ 85750-1615 | 2006-05-17 |
1124682588 | Julie A Baker | Physical Therapist | 2260 N Rosemont Blvd, Tucson, AZ 85712-2137 | 2019-04-30 |
1184863573 | Mary C Oconnell Pt LLC | Physical Therapist | 1601 N Tucson Blvd, Ste 5-a, Tucson, AZ 85716-3425 | 2009-02-09 |
1366651069 | Margaret A Egan | Physical Therapist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2007-05-21 |
1730392853 | Charlene Mendell Fregosi | Physical Therapist | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2007-05-07 |
1225150063 | Sharon Banken | Physical Therapist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2007-04-04 |
Find all providers in TUCSON |
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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.