RAECHEL JACOBSON (NPI# 1679198600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679198600 |
| Entity Type | Individual |
| Full Name | RAECHEL JACOBSON |
| Practice Address |
449 S 1st St Evansville WI 53536-1394 |
| Mailing Address |
415 Highland Park Ave Clinton WI 53525-9795 |
| Practice Telephone | 6088824338 |
| Mailing Telephone | 6083025484 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
100231315 | WI | Dental Providers |
| Street Address |
449 S 1ST ST |
| City | EVANSVILLE |
| State | WI |
| Zip Code | 53536-1394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609009661 | Anna Fedak Botts | Dentist | 449 S 1st St, Evansville, WI 53536-1394 | 2009-08-25 |
| 1700269578 | Margaret B Wieser | Dentist | 449 S 1st St, Evansville, WI 53536-1394 | 2015-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851817787 | Tammy Ann Reed | Physical Therapy Assistant | 470 Garfield Avenue, Evansville, WI 53536 | 2017-08-22 |
| 1396291522 | Quadmed LLC | Clinic/Center | 101 County Highway M, Evansville, WI 53536 | 2016-08-28 |
| 1821221649 | Jeff Richards | Chiropractor | 825 Brown School Road, Evansville, WI 53536 | 2009-08-27 |
| 1336278522 | Emily Peterson | Physical Therapist | 811 Brown School Road, Evansville, WI 53536 | 2007-03-05 |
| 1609863794 | Evansville Manor, Inc. | Skilled Nursing Facility | 470 Garfield Ave, Evansville, WI 53536-1014 | 2005-10-04 |
| 1356852958 | Evm Operations LLC | Skilled Nursing Facility | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-10-23 |
| 1487172193 | Samantha Rae Arnold | Occupational Therapist | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-09-01 |
| 1730605247 | Karmen Lee Maag | Occupational Therapy Assistant | 470 Garfield Ave, Evansville, WI 53536-1014 | 2017-08-16 |
| 1700218724 | Kim Ellen Kline | Physical Therapy Assistant | 470 Garfield Ave, Evansville, WI 53536-1014 | 2013-08-01 |
| 1497029995 | Kathryn Ann Dauwalter | Occupational Therapist | 470 Garfield Ave, Evansville, WI 53536-1014 | 2012-02-29 |
| Find all providers in zip 53536 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181194 | Trisha Johnson Cahill | Dentist | 1202 W Buena Vista Rd Ste 206, Evansville, IN 47710-5134 | 2020-07-09 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1336661628 | Familia Dental Evansville LLC | Dentist | 804 S Green River Rd Ste A, Evansville, IN 47715-4106 | 2017-07-09 |
| 1548782956 | Michelle Donna Kelley | Dentist | 3700 Bellemeade Ave Ste 122, Evansville, IN 47714-0106 | 2017-07-07 |
| 1578913075 | Paul Effinger | Dentist | 961 S Kenmore Dr, Evansville, IN 47714-7514 | 2016-06-15 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1104236769 | Raymond A. Crisio, D.m.d. PC | Dentist | 305 Broad, Evansville, IL 62242-0019 | 2014-05-05 |
| 1710271127 | Emaun Niknafs | Dentist | 5020 W Lloyd Expy Ste 200, Evansville, IN 47712-6580 | 2011-06-02 |
| 1285945550 | Jessica Hancock Renaker | Dentist | 508 N Green River Rd, Evansville, IN 47715-2412 | 2010-07-01 |
| 1609009661 | Anna Fedak Botts | Dentist | 449 S 1st St, Evansville, WI 53536-1394 | 2009-08-25 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 53536 |
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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.