MS. JEANNE JACOBS (NPI# 1770753022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770753022 |
| Entity Type | Individual |
| Full Name | MS. JEANNE JACOBS |
| Credential | PT, PA-C |
| Practice Address |
21 Totman St First Floor Quincy MA 02169-7564 |
| Mailing Address |
104 Quarry Street First Floor Quincy MA 02169-7564 |
| Practice Telephone | 6177704167 |
| Practice Fax Number | 6177700971 |
| Mailing Telephone | 6177704167 |
| Mailing Fax Number | 6177700971 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2011-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
18146 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA4272 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922385889 | Jeanne Jacobs | Counselor | 1125 6th St Se, Willmar, MN 56201-4675 | 2011-11-07 |
| Street Address |
21 TOTMAN ST FIRST FLOOR |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-7564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659354009 | Kristen Anne Ross | Physical Therapist | 21 Totman St, Quincy, MA 02169-7564 | 2005-11-21 |
| 1083245005 | Hope Aline Bresnahan | Social Worker | 21 Totman St, Quincy, MA 02169-7564 | 2020-01-29 |
| 1518514769 | Jennifer Hooper | Nurse Practitioner | 21 Totman St, Quincy, MA 02169-7564 | 2019-08-22 |
| 1265966691 | Marcus Neafsey | Pediatrics | 21 Totman St, Quincy, MA 02169-7564 | 2017-04-12 |
| 1215385679 | Kristen Regan Cowles | Social Worker | 21 Totman St, Quincy, MA 02169-7509 | 2016-05-26 |
| 1932533916 | Greater Boston Smiles Pediatric Dentistry, PC | Dentist | 21 Totman St, Suite 200, Quincy, MA 02169-7564 | 2013-08-27 |
| 1952746570 | Whitney L Kirchoff | Pediatrics | 21 Totman St, Quincy, MA 02169 | 2013-05-09 |
| 1740520196 | Lisa A St. Mary | Social Worker | 21 Totman St, Suite 203, Quincy, MA 02169-7564 | 2013-02-21 |
| 1467701888 | Shannon Leah Torres | Nurse Practitioner | 21 Totman St, Suite 1, Quincy, MA 02169-7564 | 2012-08-30 |
| 1477831857 | Whitney A Lacroix | Physical Therapist | 21 Totman St, First Floor, Quincy, MA 02169-7564 | 2011-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942712294 | Victoria Hinckley | Physician Assistant | 2 Adams Pl Ste 305, Quincy, MA 02169-7456 | 2017-10-26 |
| 1447518873 | Kaitlyn Marie Strycker | Physician Assistant | 1005 Broadway St, Quincy, IL 62301-2834 | 2012-04-23 |
| 1689817934 | Charles Michael Webberley | Physician Assistant | 1450 1st Ave Sw, Quincy, WA 98848-1695 | 2009-04-16 |
| 1902093123 | Erica Marie Miller-spears | Physician Assistant | 612 N 11th St, Quincy, IL 62301-2662 | 2007-10-02 |
| 1295937605 | Terry Manus Lindblom | Physician Assistant | 1600 Crown Colony Dr, Quincy, MA 02169-0913 | 2007-06-05 |
| 1083816102 | David Bond | Physician Assistant | 114 Whitwell Street, Quincy Medical Center, Quincy, MA 02169-1870 | 2007-06-01 |
| 1609915107 | Mark W Freedman | Physician Assistant | 1157 Hancock St, Quincy, MA 02169-4303 | 2007-02-05 |
| 1447365101 | Theresa H Oakley | Physician Assistant | 612 N 11th St, Quincy, IL 62301-2662 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
| 1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
| 1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
| 1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
| 1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
| 1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
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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.