KIMBERLY JACOB (NPI# 1356458889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356458889 |
| Entity Type | Individual |
| Full Name | KIMBERLY JACOB |
| Practice Address |
1275 South Main Street Suite103 Greensburg PA 15601 |
| Mailing Address |
Po Box 747 Greensburg PA 15601 |
| Practice Telephone | 4125617246 |
| Practice Fax Number | 4122354011 |
| Mailing Telephone | 4125617246 |
| Mailing Fax Number | 4122354011 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2015-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
VP004352B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LICENSE | VP004352B | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669788139 | Kimberly Ann Jacob | Physical Therapist | 118 E Waltann Ln, Phoenix, AZ 85022-3037 | 2010-08-23 |
| 1518120062 | Kimberly Emile Jacob | Midwife | 131 Sunny Gap Rd, Conway, AR 72032-8407 | 2008-07-04 |
| 1306133608 | Kimberly Ann Jacob | Physical Therapist | 1685 S 21st St, Colorado Springs, CO 80904-5123 | 2011-07-07 |
| Street Address |
1275 SOUTH MAIN STREET SUITE103 |
| City | GREENSBURG |
| State | PA |
| Zip Code | 15601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184702110 | Walworth Medical Associates | Internal Medicine | 1275 South Main Street, Suite 102, Greensburg, PA 15601 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274128 | Chelsea Anne Lyle | Counselor | Yaroch Counseling, 437 S Maple Ave, Greensburg, PA 15601 | 2020-10-26 |
| 1538649280 | Valor Healthcare Inc | Nurse Practitioner | 5274 Route 30 East, Suite 10, Greensburg, PA 15601 | 2018-08-21 |
| 1285121889 | Eugene Flenner Jr. | Orthotist | 3 Gibraltar Way, Greensburg, PA 15601 | 2018-04-18 |
| 1417461724 | Westmoreland County Area Agency On Aging | Case Management | 200 South Main St., Greensburg, PA 15601 | 2017-11-22 |
| 1225549769 | Beth Ann Marie Schmidle | Nurse Practitioner | 540 South Street - Medical Commons 2, Suite 302, Greensburg, PA 15601 | 2017-10-23 |
| 1386167138 | Connections Counseling of Western Pa | Community/Behavioral Health | 231 S Main Street, Suite 404, Greensburg, PA 15601 | 2017-07-24 |
| 1164963112 | Cory Kunicky | Counselor | 333 Harvey Avenue, Greensburgh, PA 15601 | 2017-03-10 |
| 1801348826 | Flow Spine & Sport LLC | Chiropractor | 123 Donohoe Drive, Greensburg, PA 15601 | 2016-10-25 |
| 1235583402 | Marc James Aukerman | Chiropractor | 424 Frye Farm Road, Greensburg, PA 15601 | 2016-04-14 |
| 1336502806 | Claire Campero | Counselor | One Northgate Square Ste 200, Greensburg, PA 15601 | 2016-04-01 |
| Find all providers in zip 15601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470626 | Alison Renee Ortman | Nurse Practitioner | 1269 W County Road 750 S, Greensburg, IN 47240-9692 | 2020-09-04 |
| 1871110486 | Sarah Davis | Nurse Practitioner | 5500 Highway 1464, Greensburg, KY 42743-9432 | 2020-06-30 |
| 1851869812 | Courtney Myers | Nurse Practitioner | 955 N Michigan Ave Ste 4, Greensburg, IN 47240-1487 | 2018-11-08 |
| 1538649280 | Valor Healthcare Inc | Nurse Practitioner | 5274 Route 30 East, Suite 10, Greensburg, PA 15601 | 2018-08-21 |
| 1336651595 | Miranda Jones | Nurse Practitioner | 555 W Newton St Ste 10, Greensburg, PA 15601-2861 | 2017-10-27 |
| 1225549769 | Beth Ann Marie Schmidle | Nurse Practitioner | 540 South Street - Medical Commons 2, Suite 302, Greensburg, PA 15601 | 2017-10-23 |
| 1538694344 | Sarah Anderson | Nurse Practitioner | 617 Buckingham Dr, Greensburg, PA 15601-6022 | 2017-04-29 |
| 1841622487 | Kathy Davis Brock | Nurse Practitioner | 400 Shirrell Cemetery Rd, Greensburg, KY 42743-9487 | 2013-08-06 |
| 1871830257 | Debra Clements Coats | Nurse Practitioner | 227 Lakewood Rd, Greensburg, PA 15601-9750 | 2013-01-06 |
| 1205184348 | Constance Elizabeth Thompson-fly | Nurse Practitioner | 6214 Louisiana Hwy 10, Greensburg, LA 70441 | 2012-08-21 |
| Find all providers in GREENSBURG | ||||
| City | GREENSBURG |
| Zip Code | 15601 |
Please comment or provide details below to improve the information on KIMBERLY JACOB.
| 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.