MR. WILLIAM CHARLES JACOBS (NPI# 1417037375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417037375 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM CHARLES JACOBS |
| Credential | FNP |
| Practice Address |
816 8th St Nw Puyallup WA 98371-4129 |
| Practice Telephone | 2537709839 |
| Mailing Telephone | 2537709839 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN00086779 | WA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30002294 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912323361 | William Jacobs | Massage Therapist | 13433 Ne 20th St Ste D, Bellevue, WA 98005-2024 | 2014-03-10 |
| 1356428585 | William Anderson Jacobs | Emergency Medicine | 3185 Highway 17, Green Cove Springs, FL 32043-9371 | 2006-11-01 |
| 1962587287 | William M. Jacobs | Pediatrics | 8405 E. Baseline Rd., Suite 107, Mesa, AZ 85209 | 2006-10-26 |
| 1619918430 | William Jacobs | Counselor | 1127 Alameda Blvd Nw Ste C, Albuquerque, NM 87114-1240 | 2006-06-10 |
| 1497746788 | William Jacobs | Dentist | 84 Rose Ave, Westbury, NY 11590-1028 | 2005-11-04 |
| 1467440966 | William Louis Jacobs | Chiropractor | 658 W Algonquin Rd, Des Plaines, IL 60016-5760 | 2005-10-10 |
| 1174528384 | William Carlisle Jacobs | Internal Medicine | 5669 Peachtree Dunwoody Rd Ne, Suite 315, Atlanta, GA 30342-1786 | 2005-06-15 |
| 1265882260 | William Matthew Jacobs | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2016-06-21 |
| 1639317308 | William Carl Jacobs Jr. | Pathology | 1000 Blythe Blvd Fl 4, Charlotte, NC 28203-5812 | 2009-02-03 |
| 1114171154 | William Scott Jacobs | Nurse Practitioner | 5005 North Piedras St., El Paso, TX 79920-5001 | 2008-11-04 |
| Street Address |
816 8TH ST NW |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98371-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141550 | Karen Lynn Sorensen | Massage Therapist | 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 | 2018-07-23 |
| 1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
| 1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
| 1487030359 | Jennifer Block | Dental Hygienist | 601 4th Ave Sw, Puyallup, WA 98371 | 2015-08-03 |
| 1023423431 | On Your Own Inc. | Registered Nurse | 1602 Peach Park Ln Nw, Puyallup, WA 98371 | 2014-06-24 |
| 1841614997 | Enrique Somera | Registered Nurse | 1107 29th St Nw, Puyallup, WA 98371 | 2014-02-10 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1104161876 | Denise L. Vanaman | Registered Nurse | 214 W. Main, Puyallup, WA 98371 | 2012-12-06 |
| 1336491018 | Tacoma School District | Physical Therapy Assistant | 1721 8th Ave. S.w., Puyallup, WA 98371 | 2012-10-05 |
| 1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
| Find all providers in zip 98371 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473103 | Deanna Jaye Mehlhoff | Nurse Practitioner | 18622 94th Avenue Ct E, Puyallup, WA 98375-9644 | 2020-03-24 |
| 1740824960 | Lisa A Duran | Nurse Practitioner | 2117 27th Pl Se, Puyallup, WA 98372-5145 | 2019-10-30 |
| 1467093534 | Bridgitte Sims | Nurse Practitioner | 15207 105th Avenue Ct E, Puyallup, WA 98374-9748 | 2019-09-30 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1174070213 | Ericka Marie Gianotto | Nurse Practitioner | 2930 S Meridian Ste 200, Puyallup, WA 98373-1654 | 2016-09-07 |
| 1174938914 | Janet Howe | Nurse Practitioner | 400 15th Ave Se Ste B, Puyallup, WA 98372-3750 | 2014-06-30 |
| 1417202656 | Jessica Anne Greb | Nurse Practitioner | 16515 Meridian E Ste 104a, Puyallup, WA 98375-6255 | 2012-07-13 |
| 1497718316 | Courtney Anne Albert | Nurse Practitioner | 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | 2006-04-11 |
| 1831176999 | Helene Susan Dehaan | Nurse Practitioner | 1519 3rd St Se, Suite 101, Puyallup, WA 98372-3742 | 2005-12-29 |
| 1851398739 | Denise R Cummings | Nurse Practitioner | 1002 39th Ave Sw Ste 203, Puyallup, WA 98373-3805 | 2005-07-07 |
| Find all providers in PUYALLUP | ||||
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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.