JOHN A JACOBS


Address: 100 John Roemmelt Dr, Suite 202, Horseheads, NY 14845-8301
Phone: 6077952820

JOHN A JACOBS (NPI# 1427205996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427205996
Entity Type Individual
Full Name JOHN A JACOBS
Credential RD
Practice Address 100 John Roemmelt Dr
Suite 202
Horseheads
NY 14845-8301
Mailing Address 571 Saint Josephs Blvd Fl 2
Elmira
NY 14901-3230
Practice Telephone 6077952820
Practice Fax Number 6077952821
Mailing Telephone 6072712050
Enumeration Date 2008-08-26
Last Update Date 2016-06-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 000610-1 NY Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 103046786 05
NY 03576318 05

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Office Location

Street Address 100 JOHN ROEMMELT DR
SUITE 202
City HORSEHEADS
State NY
Zip Code 14845-8301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962401125 Peter T Remec Orthopaedic Surgery 100 John Roemmelt Dr, Suite 102, Horseheads, NY 14845-8301 2005-07-20
1164979506 Sarah Lynne Yorke Physician Assistant 100 John Roemmelt Dr, Suite 302, Horseheads, NY 14845-8301 2016-09-01
1902275977 Sara Noorzad Physician Assistant 100 John Roemmelt Dr, Horseheads, NY 14845-8301 2015-09-21
1659752814 Amy Hilliker Nurse Practitioner 100 John Roemmelt Dr, Horseheads, NY 14845-8301 2015-06-14
1780082313 Merlyn Jacob Koshy Physician Assistant 100 John Roemmelt Dr, 3rd Floor, Horseheads, NY 14845-8301 2014-12-13
1801132246 Cameron James Cowburn Physician Assistant 100 John Roemmelt Dr, 3rd Floor, Horseheads, NY 14845-8301 2012-12-12
1093065781 Arnot Medical Services Pllc Nutritionist 100 John Roemmelt Dr, Horseheads, NY 14845-8301 2012-09-11
1801144613 Alicia Mahaney Speech-Language Pathologist 100 John Roemmelt Dr, Horseheads, NY 14845-8301 2012-08-28
1487916979 Rebecca Lynn Bjorck Nurse Practitioner 100 John Roemmelt Dr, 3rd Floor, Horseheads, NY 14845-8301 2012-06-12
1215212832 Nicole M Didas Physical Therapist 100 John Roemmelt Dr, Suite 100, Horseheads, NY 14845-8301 2011-10-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144883919 Sarika Pandharinath Ballari Student in an Organized Health Care Education/Training Program 342 Wexford Lane, Horseheads, NY 14845 2019-04-17
1679091227 J Pain & Spine Care Neurological Surgery 217 Old Ithaca Rd, Horseheads, NY 14845 2017-09-05
1477077683 David Allan Moore Taxi 3159 Lake Road, Horseheads, NY 14845 2017-07-29
1154877702 Barnes Chiropractic, Pllc Chiropractor 301 W. Broad St., Horseheads, NY 14845 2016-09-01
1871048538 Jeanette Marie Walrath Nurse Practitioner 3344 Chambers Road, Suite 200, Horseheads, NY 14845 2016-08-23
1861820565 Susan Elaine Sager Registered Nurse 950 Sing Sing Road, Horseheads Middle School, Horseheads, NY 14845 2013-10-16
1083963599 Rachael Kristen Burke Licensed Practical Nurse 722 Taylor Rd, Horseheads, NY 14845 2012-08-30
1386910990 Angela Christina Bahlatzis Physician Assistant 309 Scenic View, Horseheads, NY 14845 2012-03-28
1316214398 Carol Callahan Licensed Practical Nurse 401 Fletcher St., Horseheads, NY 14845 2011-11-19
1194020255 Jean M Sheahan Occupational Therapist One Raider Lane, Horseheads, NY 14845 2011-01-21
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376998591 Kathleen O'herron Dietitian, Registered 2667 Corning Rd, Horseheads, NY 14845-4202 2016-04-25
1265661706 Megan Nicole Clayton Dietitian, Registered 100 John Roemmelt Dr, Horseheads, NY 14845-8301 2009-07-06

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Competitor

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City HORSEHEADS
Zip Code 14845

Improve Information

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Dataset Information

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.

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