JULIE DORIS JACOBS (NPI# 1376819433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376819433 |
| Entity Type | Individual |
| Full Name | JULIE DORIS JACOBS |
| Other Name | DORIS BARBARA JACOBS |
| Credential | MD |
| Practice Address |
4800 Baseline Rd Ste D106 Boulder CO 80303-2643 |
| Mailing Address |
4058 Willows Rd Alpine CA 91901-1668 |
| Practice Telephone | 3034994800 |
| Practice Fax Number | 3034994892 |
| Mailing Telephone | 6194451188 |
| Mailing Fax Number | 6196593140 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
22374 | CO | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
4301052531 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1376819433 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4058 Willows Rd, Alpine, CA 919011668 | 6194451188 | 6196593140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402484 | Julie Jacobs | Registered Nurse | 7400 Manning Ave N, Stillwater, MN 55082-8419 | 2020-06-18 |
| 1942849302 | Julie Ann Jacobs | Occupational Therapist | 504 Santa Fe Blvd, Kokomo, IN 46901-4059 | 2020-01-03 |
| 1144498262 | Julie Ann Jacobs | Home Health Aide | 210 Nevada Rd, West Union, OH 45693-9036 | 2008-02-11 |
| 1336341650 | Julie Diane Jacobs | Dermatology | 7767 W Deer Valley Road, Peoria, AZ 85382 | 2007-05-31 |
| 1588876668 | Julie Jacobs | Psychologist | 1528 Walnut St Ste 1203, Philadelphia, PA 19102-3609 | 2007-05-03 |
| 1881201770 | Julie Jacobs | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2020-09-25 |
| 1316345234 | Julie Marie Jacobs | Nurse Practitioner | 5645 W Addison St, Chicago, IL 60634-4403 | 2014-12-09 |
| 1912346842 | Julie Lynn Jacobs | Pediatrics | 1120 15th St, Augusta, GA 30912-0004 | 2013-06-25 |
| 1841558244 | Julie Lynne Jacobs | Counselor | 1166 E Warner Rd, Suite 203, Gilbert, AZ 85296-3064 | 2012-04-24 |
| 1720351299 | Julie Jacobs | Residential Treatment Facility, Emotionally Disturbed Children | 7313 N Honore St, #2, Chicago, IL 60626-1794 | 2012-02-14 |
| Street Address |
4800 BASELINE RD STE D106 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221396 | Rocky Mountain Urgent Care, LLC | Clinic/Center | 4800 Baseline Rd Ste D106, Boulder, CO 80303-2643 | 2020-07-01 |
| 1497212112 | Rocky Mountain Medical Group, P.C. | Preventive Medicine | 4800 Baseline Rd Ste D106, Boulder, CO 80303-2643 | 2019-02-28 |
| 1447694104 | Erin K Kirkpatrick | Physician Assistant | 4800 Baseline Rd Ste D106, Boulder, CO 80303-2643 | 2013-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| Find all providers in zip 80303 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144870163 | Scott Ross | Family Medicine | 4201 Pinion Dr, Usaf Academy, CO 80840-4000 | 2019-09-12 |
| 1467019364 | Keshea Desmornes Rouse | Family Medicine | 1380 E Fillmore St Ste 100, Colorado Springs, CO 80907-6464 | 2019-05-26 |
| 1881173953 | Erin Hameroff | Family Medicine | 3460 S Federal Blvd, Englewood, CO 80110-1967 | 2018-08-09 |
| 1952819450 | Colorado Senior Provider Network | Family Medicine | 2221 E Arapahoe Rd Unit 3728, Centennial, CO 80161-5079 | 2018-01-18 |
| 1518489087 | Colorado Pain Relief of Colorado Springs Inc | Family Medicine | 1304 N Academy Blvd Ste 209, Colorado Springs, CO 80909-3318 | 2017-07-17 |
| 1871907089 | Kari Coffey | Family Medicine | 311 W. 14th Street, Pueblo, CO 81003-2710 | 2014-06-16 |
| 1891131173 | Floyd J. Miller | Family Medicine | 5315 Topaz Dr, Colorado Springs, CO 80918-2435 | 2013-05-14 |
| 1134367410 | David Kim Allred | Family Medicine | 5880 Hwy 67 South, Florence, CO 81226 | 2009-01-26 |
| 1952547127 | Occmed Colorado | Family Medicine | 3449 B Chambers Road, Aurora, CO 80011 | 2008-12-18 |
| 1730301920 | Louise Elizabeth Fullerton | Family Medicine | 2 Pin Oak Dr, Littleton, CO 80127-4325 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
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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.