MS. DEBRA ANN JACOBS (NPI# 1578783684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578783684 |
| Entity Type | Individual |
| Full Name | MS. DEBRA ANN JACOBS |
| Practice Address |
312 Se 5th Street Wilburton OK 74578 |
| Mailing Address |
Po Box 208 Red Oak OK 74563-0208 |
| Practice Telephone | 9184653911 |
| Mailing Telephone | 9184653911 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | OK | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255693107 | Debra Ann Jacobs | Nurse Practitioner | 2034 Bluestream Ct, Centerville, OH 45459-7500 | 2012-06-15 |
| 1801122700 | Debra Jacobs | Nurse Practitioner | 535 E 70th St, New York, NY 10021-4823 | 2009-10-27 |
| 1295880201 | Debra Jacobs | Occupational Therapist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2007-01-23 |
| Street Address |
312 SE 5TH STREET |
| City | WILBURTON |
| State | OK |
| Zip Code | 74578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539541 | Keli Jo Spears | Counselor | 10975 Sw Hwy 1, Wilburton, OK 74578 | 2019-07-01 |
| 1932564523 | Jennifer Roberts | Behavioral Analyst | 101 Blassingame Ct, Wilburton, OK 74578 | 2015-12-23 |
| 1285988683 | Cheryl Lin Kennon | Contractor | 320 Medlock St, Wilburton, OK 74578 | 2012-11-07 |
| 1891817664 | Rustling Winds Inc | Counselor | 211 West Main, Wilburton, OK 74578 | 2007-04-04 |
| 1427143429 | Ricardo Mariano Valbuena | Family Medicine | 1107 West Main Street, Wilburton, OK 74578 | 2006-10-04 |
| 1780676320 | Home Care Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 9128 Nw Hwy 2, Wilburton, OK 74578 | 2005-08-19 |
| 1467733535 | Wilburton Public Schools | Local Education Agency (LEA) | 1201 W Blair Ave, Wilburton, OK 74578-2009 | 2011-09-02 |
| 1154617405 | Laurie Lee Franco | Case Management | 508 Nw 4th St, Wilburton, OK 74578-2216 | 2011-06-24 |
| 1386070886 | Tennie I Clark | Case Manager/Care Coordinator | 805 W Durant Ave, Wilburton, OK 74578-2243 | 2013-09-17 |
| 1629293006 | Ruby A Riley | Counselor | 113 W Ada Ave, Wilburton, OK 74578-2416 | 2007-04-13 |
| Find all providers in zip 74578 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588784680 | Sadie Mayfeild | Day Training/Habilitation Specialist | 11034 E 16th St, Tulsa, OK 74128-4877 | 2007-03-30 |
| 1982729323 | Marilyn Hooper-kirk | Day Training/Habilitation Specialist | 5017 S Irvington Ct, Tulsa, OK 74135-6816 | 2007-03-21 |
| 1689799249 | Opportunity Center, Incorporated | Day Training/Habilitation Specialist | 2225 N Union St, Ponca City, OK 74601-1555 | 2007-03-20 |
| 1205925138 | Kiamichi Opportunities | Day Training/Habilitation Specialist | 405 North 16, Hugo, OK 74743 | 2006-10-11 |
| 1841383916 | Southwest Oklahoma Community Action Group, Inc. | Day Training/Habilitation Specialist | 2208 Enterprise Dr, Altus, OK 73521-5843 | 2006-10-02 |
| 1598866535 | Betty L Evans | Day Training/Habilitation Specialist | 104 Poe Ave, Poteau, OK 74953-2418 | 2006-09-25 |
| 1467559708 | Bonnie Jean Reich | Day Training/Habilitation Specialist | 19460 8a St., Norman, OK 73026-9475 | 2006-09-20 |
| 1720183692 | Vickie Lynn Watson | Day Training/Habilitation Specialist | Rr 1 Box 64a, 14457 N 3650, Sasakwa, OK 74867-9714 | 2006-09-14 |
| 1386749729 | Brenda G. Cox II | Day Training/Habilitation Specialist | Brenda Cox, Rt.1 Box 216c, Skiatook, OK 74070-9712 | 2006-09-13 |
| 1275927006 | Jodi Parks | Day Training/Habilitation Specialist | 2619 N Harvey Ave, Oklahoma City, OK 73103-3017 | 2015-03-18 |
| Find all providers with the same taxonomy | ||||
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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.