KASSIDY JACOBS


Address: 4191 The Circle At North Hills St, Raleigh, NC 27609-5712
Phone: 9197862534

KASSIDY JACOBS (NPI# 1740838853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740838853
Entity Type Individual
Full Name KASSIDY JACOBS
Other Name KASSIDY FAY BURR
Credential NP-C
Practice Address 4191 The Circle At North Hills St
Raleigh
NC 27609-5712
Practice Telephone 9197862534
Enumeration Date 2019-09-01
Last Update Date 2020-04-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 277714 NC Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
5012203 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4191 THE CIRCLE AT NORTH HILLS ST
City RALEIGH
State NC
Zip Code 27609-5712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326060120 North Carolina Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 4191 The Circle At North Hills St, Raleigh, NC 27609-5712 2006-07-24
1508471897 Roy Kim Pharmacist 4191 The Circle At North Hills St, Raleigh, NC 27609-5712 2020-09-13
1093341174 Peymon Alan Tavangar Pharmacist 4191 The Circle At North Hills St, Raleigh, NC 27609-5712 2020-03-20
1427582451 Sadie Klein Nurse Practitioner 4191 The Circle At North Hills St, Raleigh, NC 27609-5712 2017-04-17
1801342712 Jessica Bowen Fleming Pharmacist 4191 The Circle At North Hills St, Raleigh, NC 27609-5712 2016-08-31
1407220684 Stacey Jones Nurse Practitioner 4191 The Circle At North Hills St, Raleigh, NC 27609-5712 2015-11-25
1760867014 Sarah Frank Nurse Practitioner 4191 The Circle At North Hills St, Raleigh, NC 27609-5712 2015-07-29
1538559083 Maria Telesca Pharmacy Technician 4191 The Circle At North Hills St, Raleigh, NC 27609-5712 2015-02-04
1255721718 Ignatius Nwaokomah Pharmacy Technician 4191 The Circle At North Hills St, Raleigh, NC 27609-5712 2015-02-04
1326438839 Ivette Marie Garrett Pharmacy Technician 4191 The Circle At North Hills St, Raleigh, NC 27609-5712 2015-02-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184235582 Choice Service Solutions LLC In Home Supportive Care 5300 Six Fox Rd Siite205, Raleigh, NC 27609 2020-08-11
1003426073 Rosana Oba -rovira Registered Nurse 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 2020-08-05
1821612706 Helen Alexandra Bonner Physical Medicine & Rehabilitation Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 2020-06-05
1215423579 Appiah Nana Larbi Social Worker Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 2018-07-10
1215423777 Broadway Home Care LLC In Home Supportive Care 107 Windel Dr Ste 105, Raleigh, NC 27609 2018-07-09
1275027948 Lacey Allene Cottingham Social Worker 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 2018-06-18
1447748819 Integrated Dermatology of North Raleigh, Pllc Dermatology 3809 Computer Dr Ste 200, Raleigh, NC 27609 2018-05-01
1902325418 Naomi Christine Askew Nurse Practitioner 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 2017-09-15
1962929679 Alexia Montague Social Worker 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 2017-08-23
1730602236 Chantel Washington-mbuthia Counselor 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 2017-07-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417558990 Munira Amirali Ward Nurse Practitioner 2617 Valley Haven Dr, Raleigh, NC 27603-3197 2020-11-03
1710598644 Nicole Dora Licato Nurse Practitioner 7200 Creedmoor Rd Ste 208, Raleigh, NC 27613-1711 2020-08-13
1316561178 Mintoria Lynette Stockton Nurse Practitioner 8332 Mcguire Dr, Raleigh, NC 27616-5682 2020-06-07
1700407103 Sadonna Marlene Sawyer Nurse Practitioner 3311 Grove Crabtree Cres Apt 122, Raleigh, NC 27613-3063 2020-04-27
1447879903 Christapher Frank Nurse Practitioner 2034 Wesvill Court, Suite 320, Raleigh, NC 28326 2020-04-14
1265065015 Shubham Tyagi Nurse Practitioner Duke Urgent Care Brier Creek, 10211 Alm Street Suite 1200, Raleigh, NC 27617-2761 2020-02-20
1073163812 Taylor Brooke Lawrence Nurse Practitioner 10208 Cerny St Ste 301, Raleigh, NC 27617-1000 2019-09-13
1811456320 Elizabeth Campbell Mcgrath Nurse Practitioner 2615 Lake Dr Ste 201, Raleigh, NC 27607-6694 2019-03-14
1922578541 Dorothy Nwizu Nurse Practitioner 608 Kavkaz St, Raleigh, NC 27610-3176 2018-11-26
1265900013 Patricia-marie Edge Odom Nurse Practitioner 3000 New Bern Ave Ste G100, Raleigh, NC 27610-1231 2018-11-09
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Competitor

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City RALEIGH
Zip Code 27609

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Dataset Information

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.

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