MELISSA C. JACOBS (NPI# 1720401631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720401631 |
Entity Type | Individual |
Full Name | MELISSA C. JACOBS |
Other Name | MELISSA C. SAMLER |
Credential | NP |
Practice Address |
801 Massachusetts Ave Crosstown 6c Boston MA 02118-2526 |
Mailing Address |
720 Harrison Ave Dob 503 Boston MA 02118 |
Practice Telephone | 6174145951 |
Practice Fax Number | 6174141577 |
Enumeration Date | 2014-01-28 |
Last Update Date | 2019-05-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN2260951 | MA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110098913A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750553392 | Melissa Dara Louise Jacobs | Social Worker | 3002 Manchester Dr, Jamestown, NC 27282-9023 | 2008-03-24 |
1316169998 | Melissa Marie Jacobs | Registered Nurse | N 1975 County Highway N, Columbus, WI 53925-9766 | 2007-05-03 |
1346878766 | Melissa E Jacobs | Counselor | 62 Carter Road, Kent, CT 06757 | 2020-03-31 |
1528569654 | Melissa Jacobs | Licensed Vocational Nurse | 111 Jackson St, Nocona, TX 76255-1014 | 2018-02-23 |
1831584143 | Melissa Jacobs | Psychologist | 864 S Robertson Blvd, Suite 302, Los Angeles, CA 90035-1605 | 2015-04-02 |
1710309927 | Melissa Jacobs | Social Worker | 150 Main St, Chatham, NJ 07928-2445 | 2014-01-08 |
1114239100 | Melissa Forbes Jacobs | Physician Assistant | 837 Fm 1960 West, Suite 105, Houston, TX 77090-0000 | 2010-07-08 |
1811124753 | Melissa Jacobs | Pathology | 1 Medical Center Dr, Dhmc Department of Pathology, Lebanon, NH 03756-1000 | 2009-06-18 |
1225283013 | Melissa Jacobs | Social Worker | 200 S Orange Ave, Pediatric Specialty Center, Livingston, NJ 07039-5817 | 2008-11-21 |
1245376060 | Melissa Ann Jacobs | Radiology | 2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219-4688 | 2007-01-29 |
Street Address |
801 MASSACHUSETTS AVE CROSSTOWN 6C |
City | BOSTON |
State | MA |
Zip Code | 02118-2526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578569711 | Melinda M Tonelli | Internal Medicine | 801 Massachusetts Ave, Crosstown 2, Boston, MA 02118-2526 | 2005-06-22 |
1275154940 | Jorge Nicolas Ruiz | Student in an Organized Health Care Education/Training Program | 801 Massachusetts Ave, 6th Floor Crosstown Clinic 6c, Boston, MA 02118 | 2020-05-04 |
1477015303 | Sara Lauren Shusterman | Internal Medicine | 801 Massachusetts Ave, Boston, MA 02118-2605 | 2019-04-01 |
1194285270 | Jihoon John Choi | Student in an Organized Health Care Education/Training Program | 801 Massachusetts Ave, Boston, MA 02118-2605 | 2019-03-23 |
1427517200 | Sarah Olofsson | Internal Medicine | 801 Massachusetts Ave, Boston, MA 02118 | 2019-03-19 |
1013476092 | Eleni Pilitsi | Student in an Organized Health Care Education/Training Program | 801 Massachusetts Ave, Boston, MA 02118-2605 | 2019-03-18 |
1023515996 | Monzolesso Joel Bagah-kognagba | Student in an Organized Health Care Education/Training Program | 801 Massachusetts Ave, Boston, MA 02118-2605 | 2018-04-09 |
1184122111 | Nicole Marie Lincoln | Nurse Practitioner | 801 Massachusetts Ave, Crosstown 2, Boston, MA 02118-2605 | 2018-01-24 |
1386163178 | Margaret Perkins Ames | Nurse Practitioner | 801 Massachusetts Ave, Crosstown 6c, Boston, MA 02118-2605 | 2017-09-13 |
1265954523 | Alice Anne Grant | Nurse Practitioner | 801 Massachusetts Ave, Crosstown 6a, Boston, MA 02118-2605 | 2017-07-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
Find all providers in zip 02118 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669018370 | Ashley Erin Dimauro | Nurse Practitioner | 155 Federal St Ste 700, Boston, MA 02110-1727 | 2019-11-18 |
1366961310 | Christine Anna Corallino | Nurse Practitioner | 14 Foster Street, #3, Boston, MA 02109 | 2017-09-11 |
1366593774 | Laurie A Talarico | Nurse Practitioner | 239 Causeway St, 2nd Floor, Boston, MA 02114-2130 | 2007-01-13 |
1235237173 | Katherine Concilio | Nurse Practitioner | 72 E Concord Street, Robinson 2, Boston, MA 02118 | 2006-09-21 |
1770191868 | Lindsey Anne Landwehrle | Nurse Practitioner | 10 Gove St, Boston, MA 02128-1931 | 2020-07-15 |
1356977193 | Ricky Pamphile | Nurse Practitioner | 75 Francis St, Boston, MA 02115-6110 | 2020-03-12 |
1184271637 | Susan Jane Ulery | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2019-08-20 |
1952865735 | Vanny Mclean | Nurse Practitioner | 72 E Concord Street, Robinson 2, Boston, MA 02118 | 2019-01-26 |
1699276808 | Neuza Barros Fernandes | Nurse Practitioner | 150 S Huntington Ave, Boston, MA 02130-4817 | 2018-02-22 |
1023522497 | Tram T Tran | Nurse Practitioner | 732 Harrison Ave, Preston, 2nd Floor, Boston, MA 02118 | 2017-11-21 |
Find all providers in BOSTON |
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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.