MS. HEATHER SUZANNA JACOBS (NPI# 1639428014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639428014 |
Entity Type | Individual |
Full Name | MS. HEATHER SUZANNA JACOBS |
Credential | RN, MPH, MSN, CPNP |
Practice Address |
10750 W Mcdowell Rd Suite G700 Avondale AZ 85392-5960 |
Practice Telephone | 6238730321 |
Mailing Telephone | 6238730321 |
Enumeration Date | 2012-08-31 |
Last Update Date | 2012-08-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP4640 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487255659 | Heather Nicole Jacobs | Nursing Care | 9445 Road 180, Paulding, OH 45879-8741 | 2020-11-04 |
1730740085 | Heather Jacobs | Social Worker | 3717 Boundary St, San Diego, CA 92104-3801 | 2019-06-27 |
1134626328 | Heather Jacobs | Health Educator | 3321 Se Loeffelman Rd, Milwaukie, OR 97222-7015 | 2018-04-12 |
1144783192 | Heather Nicole Jacobs | Behavior Technician | 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 | 2019-04-08 |
1801379649 | Heather Jacobs | Case Manager/Care Coordinator | 4302 Allen Rd Ste 420, Stow, OH 44224-1070 | 2018-09-07 |
1831696376 | Heather Renee Cox Jacobs | Speech-Language Pathologist | 150 Duffey Dr, Stafford, VA 22556-8034 | 2018-04-11 |
1548776842 | Heather Jacobs | Registered Nurse | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2017-12-21 |
1619416013 | Heather Jacobs | Nurse Practitioner | 500 W River Dr, Davenport, IA 52801-1014 | 2017-02-17 |
1235488446 | Heather Joan Jacobs | Nurse Practitioner | 815 Oakridge Blvd, Lumberton, NC 28358-2330 | 2012-09-04 |
1396925301 | Heather Woods Jacobs | Registered Nurse | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-11-07 |
Street Address |
10750 W MCDOWELL RD SUITE G700 |
City | AVONDALE |
State | AZ |
Zip Code | 85392-5960 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154389195 | Paula Jill Purtee | Registered Nurse | 10750 W Mcdowell Rd, Suite G700, Avondale, AZ 85392-5960 | 2006-05-01 |
1982201299 | Prosper Az | Community/Behavioral Health | 10750 W Mcdowell Rd, Avondale, AZ 85392-5960 | 2020-10-08 |
1043728546 | Jenna L Graham | Dietitian, Registered | 10750 W Mcdowell Rd, Avondale, AZ 85392 | 2018-01-18 |
1902324197 | Chelsea Hiemer | Nurse Practitioner | 10750 W Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-07 |
1104340264 | Gabriel Alejandro Aguilar | Physical Therapy Assistant | 10750 W Mcdowell Rd, Avondale, AZ 85392-5960 | 2017-07-31 |
1457702219 | Pa Healthcare | Durable Medical Equipment & Medical Supplies | 10750 W Mcdowell Rd, Avondale, AZ 85392-5960 | 2016-06-23 |
1558711507 | Ryan Ambrose | Optometrist | 10750 W Mcdowell Rd, Bldg A100, Avondale, AZ 85392-5960 | 2016-06-20 |
1114396389 | Avondale Endodontics, Plc | Dentist | 10750 W Mcdowell Rd, Suite A250, Avondale, AZ 85392-5960 | 2015-09-17 |
1922484229 | Brandon Olson | Physical Therapist | 10750 W Mcdowell Rd, Suite B210, Avondale, AZ 85392-5960 | 2015-08-10 |
1881074318 | Sun Valley Pediatric Dentistry, Pllc | Dentist | 10750 W Mcdowell Rd, Suite F-610, Avondale, AZ 85392-5960 | 2015-05-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
Find all providers in zip 85392 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407354244 | Mariah Karyn White | Nurse Practitioner | 13065 W Mcdowell Rd Ste C130, Avondale, AZ 85392-6448 | 2018-01-26 |
1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
1902324197 | Chelsea Hiemer | Nurse Practitioner | 10750 W Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558961425 | Christian Reese Newsom | Nurse Practitioner | 6980 E Sahuaro Dr Apt 1085, Scottsdale, AZ 85254-5295 | 2020-10-29 |
1083258354 | Stephenie Ann Lechuga | Nurse Practitioner | 3415 W Glendale Ave Ste 32a, Phoenix, AZ 85051-8485 | 2019-10-30 |
1821650201 | Rebekah Ellen Charry | Nurse Practitioner | 115 Calle Portal Ste 700, Sierra Vista, AZ 85635-2950 | 2019-07-05 |
1326606146 | Mollie Finn | Nurse Practitioner | 2356 N Emerald Lake Ct, Tucson, AZ 85749-7925 | 2019-06-05 |
1134698160 | Kayla Rose Percy | Nurse Practitioner | 1205 N F Ave, Douglas, AZ 85607-1920 | 2018-11-20 |
1063987683 | Katherine Anne Bassler | Nurse Practitioner | 5375 E Erickson Dr Ste 103, Tucson, AZ 85712-2838 | 2018-10-10 |
1134613607 | Brittany Kunz | Nurse Practitioner | 2456 E Fairview Cir, Mesa, AZ 85204-5421 | 2018-06-19 |
1124526884 | Kidnurse, LLC | Nurse Practitioner | 1550 S Alma School Rd Ste 275, Mesa, AZ 85210-2107 | 2018-01-29 |
1215455605 | Shampa Nasreen | Nurse Practitioner | 2711 E Roosevelt St, Phoenix, AZ 85008-4946 | 2017-09-06 |
1487182648 | Mary Renee Golden | Nurse Practitioner | 1739 E Beverly Ave Ste 204, Kingman, AZ 86409-3593 | 2017-05-31 |
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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.