COLLEEN MARIE JACOBSEN (NPI# 1558980987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558980987 |
| Entity Type | Individual |
| Full Name | COLLEEN MARIE JACOBSEN |
| Credential | RPH |
| Practice Address |
204 N 4th Ave E Newton IA 50208-3135 |
| Practice Telephone | 6417914317 |
| Practice Fax Number | 6417914319 |
| Mailing Telephone | 6417914317 |
| Mailing Fax Number | 6417914319 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17493 | IA | Pharmacy Service Providers |
| Street Address |
204 N 4TH AVE E |
| City | NEWTON |
| State | IA |
| Zip Code | 50208-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930441 | Skiff Medical Center | General Acute Care Hospital | 204 N 4th Ave E, Newton, IA 50208-3135 | 2005-05-23 |
| 1275153876 | Mercy Medical Center - Newton | Clinical Medical Laboratory | 204 N 4th Ave E, Newton, IA 50208-3135 | 2020-04-23 |
| 1467072413 | Amber Karsten | Physical Therapist | 204 N 4th Ave E, Newton, IA 50208-3135 | 2020-04-20 |
| 1811556293 | Maria Martha Katherine Doud | Speech-Language Pathologist | 204 N 4th Ave E, Newton, IA 50208-3135 | 2019-06-10 |
| 1801455613 | Tess Metzler | Physical Therapist | 204 N 4th Ave E, Newton, IA 50208-3135 | 2019-06-06 |
| 1023528890 | Christine A Pernetti | Audiologist | 204 N 4th Ave E, Newton, IA 50208-3135 | 2017-10-06 |
| 1295265023 | Christopher Garold Kearse | Nurse Practitioner | 204 N 4th Ave E, Newton, IA 50208-3135 | 2017-06-14 |
| 1821545898 | Mary Robinson | Nurse Practitioner | 204 N 4th Ave E, Newton, IA 50208-3135 | 2016-09-07 |
| 1710359609 | Lisa L Kirke | Audiologist | 204 N 4th Ave E, Newton, IA 50208-3135 | 2015-10-30 |
| 1174907703 | Des Moines River Physicians, LLC | Emergency Medicine | 204 N 4th Ave E, Newton, IA 50208-3135 | 2015-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642905 | Jennifer Elaine Clodfelter | Pharmacist | 1201 1st Avenue East, Newton, IA 50208 | 2020-06-08 |
| 1578107041 | Benjamin Robert Lehl | Counselor | 1123 1st Ave E, #200, Hewton, IA 50208 | 2019-10-29 |
| 1154848273 | Grx Holdings, LLC | Pharmacy | 400 1st Ave. W, Newton, IA 50208 | 2017-08-29 |
| 1275995045 | Jasper County Health Department | Home Health | 115 N 2nd Avenue E, County Annex Building B-1, Newton, IA 50208 | 2016-03-22 |
| 1346608304 | Caitlyn Boldt | Speech-Language Pathologist | 200 South 8th Ave W, Newton, IA 50208 | 2016-02-05 |
| 1427431725 | Jennifer Kramer | Social Worker | 306 N 3rd Avenue E, Newton, IA 50208 | 2015-07-06 |
| 1669890976 | Newton Village, Inc. | Skilled Nursing Facility | 114 N 5th Ave, Newton, IA 50208 | 2014-04-03 |
| 1922120559 | Lonnie Dean Barton | Dentist | 727 W 11th St S, Newton, IA 50208 | 2007-04-04 |
| 1578690939 | Ambroson Apothecary LLC | Pharmacy | 212 1st Street North, Newton, IA 50208 | 2007-02-27 |
| 1659420214 | Roy Edgar Mount | Dentist | 600 E 17th St N, Suite A, Newton, IA 50208 | 2007-01-10 |
| Find all providers in zip 50208 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653221 | Shirley Lin | Pharmacist | 137 W. Central St, Newton, MA 02460-0246 | 2020-09-09 |
| 1750908265 | Mark Gardner | Pharmacist | 125 Water St, Newton, NJ 07860-1420 | 2020-06-30 |
| 1124642905 | Jennifer Elaine Clodfelter | Pharmacist | 1201 1st Avenue East, Newton, IA 50208 | 2020-06-08 |
| 1891240685 | Ericka Shepard | Pharmacist | 98 Lone Goose Rd, Newton, NH 03858-8000 | 2016-08-22 |
| 1427465756 | Yin-chu Jih | Pharmacist | 4 Brandeis Cir, Newton, MA 02459-2717 | 2014-07-18 |
| 1942620836 | Kris Scarborough | Pharmacist | 3105 Cumbie Rd, Newton, AL 36352-8780 | 2014-04-18 |
| 1922383884 | Anne M Geidel | Pharmacist | 1300 N. Main, Newton, KS 67114 | 2011-10-11 |
| 1831474790 | Mark Thomas Attebery | Pharmacist | 1300 N. Main St., Newton, KS 67114 | 2011-10-11 |
| 1124309513 | Meghan Dyer | Pharmacist | 12 Nordic Wood Ln, Newton, NH 03858-3123 | 2011-08-30 |
| 1871873505 | Jim Michienzi | Pharmacist | 5 Kenwood Dr, Newton, NH 03858-3916 | 2011-08-25 |
| Find all providers in NEWTON | ||||
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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.