ANGELICA ANNA JACOB (NPI# 1477104081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477104081 |
Entity Type | Individual |
Full Name | ANGELICA ANNA JACOB |
Practice Address |
1160 Liberty St Se Salem OR 97302-4143 |
Practice Telephone | 5033919762 |
Mailing Telephone | 5033919762 |
Enumeration Date | 2019-09-25 |
Last Update Date | 2019-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 201905084LPN | OR | Nursing Service Providers |
Street Address |
1160 LIBERTY ST SE |
City | SALEM |
State | OR |
Zip Code | 97302-4143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609942143 | William Lee Johansen | Dentist | 1160 Liberty St Se, Salem, OR 97302-4143 | 2006-11-27 |
1477168573 | Kathy Dement | Registered Nurse | 1160 Liberty St Se, Salem, OR 97302-4143 | 2020-09-15 |
1861017311 | Susanna V Martushev | Counselor | 1160 Liberty St Se, Salem, OR 97302-4143 | 2020-06-10 |
1942834312 | Kimberly Ann Eichler | Licensed Practical Nurse | 1160 Liberty St Se, Salem, OR 97302-4143 | 2020-02-25 |
1689225393 | Rachelle Ann Vargo | Licensed Practical Nurse | 1160 Liberty St Se, Salem, OR 97302-4143 | 2019-09-24 |
1699324889 | Ryan Lawson | Counselor | 1160 Liberty St Se, Salem, OR 97302-4143 | 2019-09-10 |
1184278707 | Lisa Martinez | Counselor | 1160 Liberty St Se, Salem, OR 97302-4143 | 2019-07-31 |
1477013712 | Kathryn Marie Deeds | Counselor | 1160 Liberty St Se, Salem, OR 97302-4143 | 2019-03-22 |
1750840781 | Brandy Vazquez | Licensed Practical Nurse | 1160 Liberty St Se, Salem, OR 97302-4143 | 2019-03-19 |
1225595572 | Jackie Renee Follis | Counselor | 1160 Liberty St Se, Salem, OR 97302-4143 | 2019-02-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
Find all providers in zip 97302 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669962361 | Sheri Adigun | Licensed Practical Nurse | 10 Briar Ave, Salem, NH 03079-2635 | 2018-05-17 |
1366940702 | Amelie Jane Noel | Licensed Practical Nurse | 4235 Wheat Ct Ne, Salem, OR 97305-2388 | 2018-01-31 |
1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
1295199271 | Margrett Anne Simpkins | Licensed Practical Nurse | 1853 13th St Se, Salem, OR 97302-2577 | 2016-04-06 |
1871988485 | Daphne Tadlock | Licensed Practical Nurse | 547 Knapp Pl Ne, Salem, OR 97301-2443 | 2015-03-31 |
1871919696 | Jennifer Marinelli | Licensed Practical Nurse | 11300 Youngstown Salem Rd, Salem, OH 44460-7610 | 2014-03-17 |
1174948293 | Terena Umberger | Licensed Practical Nurse | 14405 Pricetown Rd, Salem, OH 44460-9195 | 2014-02-26 |
1790108389 | Bonnie Rose Plessinger | Licensed Practical Nurse | 9729 Egypt Rd, Salem, OH 44460-9664 | 2014-02-02 |
1881937209 | Heather Lynn Tracy | Licensed Practical Nurse | 1137 Hampton Pl, Salem, OH 44460-1081 | 2013-04-03 |
1265781850 | Desirea Lynn Counts | Licensed Practical Nurse | Hc 62 Box 285, Salem, MO 65560-8807 | 2012-08-29 |
Find all providers in SALEM |
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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.