CHARLA JACOB (NPI# 1497103154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497103154 |
| Entity Type | Individual |
| Full Name | CHARLA JACOB |
| Practice Address |
148 S 39th St Omaha NE 68131-3002 |
| Practice Telephone | 4027083029 |
| Mailing Telephone | 4027083029 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 3368 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
148 S 39TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68131-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626086 | Spring Forward Ot, LLC | Occupational Therapist | 429 N. 38th Ave, Omaha, NE 68131 | 2020-03-31 |
| 1568944528 | Amy Vodicka | Case Manager/Care Coordinator | 3612 Cuming St., Omaha, NE 68131 | 2018-09-05 |
| 1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
| 1063939098 | William L. Rolfe | Community Health Worker | 3568 Dodge Street, Suite 2, Omaha, NE 68131 | 2017-08-30 |
| 1578086294 | Nebraska Family Support Network | Community/Behavioral Health | 3568 Dodge St Ste 2, Omaha, NE 68131 | 2017-07-25 |
| 1124558937 | Beverly Hamilton | Case Manager/Care Coordinator | 3612 Cuming, Omaha, NE 68131 | 2017-06-14 |
| 1396291068 | Elizabeth George | Internal Medicine | 601 N. 30th St. Cu Department of Internal Medicine, Omaha, NE 68131 | 2016-08-31 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
| 1881069409 | Jordan Sieh | Behavioral Analyst | 444 S. 44th St, Omaha, NE 68131 | 2015-12-08 |
| Find all providers in zip 68131 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829120 | Mary Ann Mcmichael | Massage Therapist | 12305 Gold St Ste 9, Omaha, NE 68144-2760 | 2020-07-24 |
| 1245854942 | Teri Lynn Hein | Massage Therapist | 11316 Davenport St, Omaha, NE 68154-2630 | 2020-05-29 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1710528849 | Jimi Clyde Hughes | Massage Therapist | 11932 Arbor St Ste 100, Omaha, NE 68144-2986 | 2019-09-30 |
| 1861985012 | Mitch A Johnson | Massage Therapist | 1817 N 169th Plz Ste B, Omaha, NE 68118-2822 | 2018-06-12 |
| 1114438082 | Elizabeth Collette Mcguire | Massage Therapist | 1215 Leavenworth St, Omaha, NE 68102-3214 | 2017-10-19 |
| 1063923910 | Kristi S Ellis | Massage Therapist | 15805 W Maple Rd Ste 106, Omaha, NE 68116-8249 | 2017-10-18 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1861848020 | Terry John Van Gelder | Massage Therapist | 1216 Howard St, Omaha, NE 68102-2819 | 2016-05-06 |
| 1487036281 | Jasmine Roberts | Massage Therapist | 7811 L St, 270, Omaha, NE 68127-1866 | 2015-06-29 |
| Find all providers in OMAHA | ||||
Please comment or provide details below to improve the information on CHARLA JACOB.
| 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.