PATRICIA LOUISE JAKUBEC (NPI# 1457518755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457518755 |
| Entity Type | Individual |
| Full Name | PATRICIA LOUISE JAKUBEC |
| Practice Address |
13226 Moby Dick Dr W Jacksonville FL 32218-2891 |
| Practice Telephone | 9046142709 |
| Mailing Telephone | 9046142709 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2020-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | DH17696 | FL | Dental Providers |
| Y | 133V00000X | Dietitian, Registered | ND9674 | FL | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | REGISTERED DENTAL HYGIENIST | DH17696 | 01 |
| Street Address |
13226 MOBY DICK DR W |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-2891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1073127528 | David Cameron Yarborough | Dietitian, Registered | 8165 Veracruz Dr, Jacksonville, FL 32211-5034 | 2020-09-02 |
| 1710597562 | Rachel Lynn Mccandless | Dietitian, Registered | 1814 Industrial Blvd, Jacksonville, FL 32254-2081 | 2020-08-06 |
| 1417586330 | Sarah Nicole Allen | Dietitian, Registered | 10000 Gate Pkwy N Apt 816, Jacksonville, FL 32246-8210 | 2020-04-02 |
| 1841823259 | Katherine Stewart | Dietitian, Registered | 4203 Belfort Rd Bldg Suite250, Jacksonville, FL 32216-1409 | 2020-02-14 |
| 1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
| 1972156552 | Whitney Russell | Dietitian, Registered | 413 Little Creek Ct, Jacksonville, NC 28546-8737 | 2019-07-22 |
| 1154805414 | Stacy Seslowsky | Dietitian, Registered | 4300 Lakeside Dr Unit 5, Jacksonville, FL 32210-3364 | 2018-09-21 |
| 1942787734 | Tabetha Foose | Dietitian, Registered | 13295 Smithwick Ln, Jacksonville, FL 32226-0717 | 2018-07-24 |
| 1336656255 | Julia Whelan | Dietitian, Registered | 1488 Landau Rd, Jacksonville, FL 32225-8275 | 2017-12-30 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
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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.