SUSAN BIJI JACOB (NPI# 1801134390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801134390 |
Entity Type | Individual |
Full Name | SUSAN BIJI JACOB |
Credential | APRN |
Practice Address |
4400 N Lincoln Blvd Oklahoma City OK 73105-5104 |
Mailing Address |
114 W Delaware Ave Nowata OK 74048-2601 |
Practice Telephone | 4054228800 |
Mailing Telephone | 9182731841 |
Mailing Fax Number | 9182731843 |
Enumeration Date | 2013-01-18 |
Last Update Date | 2019-12-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
70896 | OK | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821468257 | Susan Jacob | Nurse Practitioner | 212 Angela Ln, Stafford, TX 77477 | 2015-09-28 |
1699865881 | Susan C Jacob | Allergy & Immunology | 801 Alma St, Tomball, TX 77375 | 2006-10-16 |
1245246503 | Susan M. Jacob | Counselor | 1101 Dove St, Suite 160, Newport Beach, CA 92660-2839 | 2006-07-31 |
1356964431 | Susan Jacob | Student in an Organized Health Care Education/Training Program | 3459 5th Ave Ste 9, Pittsburgh, PA 15213-3236 | 2020-05-22 |
1306315130 | Susan Jacob | Nurse Practitioner | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2018-11-22 |
1487991246 | Susan Jacob | Pharmacist | 5473 Nw Saint James Dr, Port Saint Lucie, FL 34983-3444 | 2013-01-12 |
1467675819 | Susan Vivian Jacob | Psychologist | 14 Vanderventer Ave, Port Washington, NY 11050-3737 | 2007-04-11 |
1568685436 | Susan Jacob | Nurse Practitioner | 710 W 168th Street, New York, NY 10032-2699 | 2007-04-10 |
1538207220 | Susan Jacob | Family Medicine | 231 Albert Sabin Way, Cincinnati, OH 45267-2827 | 2007-02-02 |
1508951872 | Susan Jacob | Family Medicine | 55 Brendon Way, Suite 100, Zionsville, IN 46077-1955 | 2006-10-04 |
Street Address |
4400 N LINCOLN BLVD |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73105-5104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750359311 | Vincel Ray Cordry Jr. | Psychiatry & Neurology | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2006-03-09 |
1437759271 | Caroline Bothroyd | Case Manager/Care Coordinator | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 | 2020-10-30 |
1982202701 | Megan Croisant | Case Manager/Care Coordinator | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-10-14 |
1871191908 | Mackenzie Rae Davis | Case Manager/Care Coordinator | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-10-12 |
1174121453 | Mariah Ivette Huston | Community Health Worker | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 | 2020-10-09 |
1669089447 | German Gallardo | Case Manager/Care Coordinator | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 | 2020-09-25 |
1316552631 | Bryce Aaron Tucker | Peer Specialist | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 | 2020-09-14 |
1053926469 | Amber Nichole Butler | Community Health Worker | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-09-11 |
1114530086 | Stephanie Michelle Sanderson | Peer Specialist | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2020-08-28 |
1124630389 | Tammy Jo Brooks | Behavior Technician | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 | 2020-08-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
1104468834 | Inas Z. Yacoub | Pathology | 921 N.e. 23rd St., Okc, OK 73105 | 2019-10-15 |
1861988495 | Grant Weirich | Registered Nurse | 4420 N Lincoln, Oklahoma City, OK 73105 | 2018-07-06 |
1073043865 | Joseph W Lee I | Case Manager/Care Coordinator | 2701 N. Oklahoma Ave, Oklahoma City, OK 73105 | 2017-06-14 |
1356886840 | Melissa Thompson | Counselor | 4130 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-12-20 |
1285093484 | Dianne Gray | Student in an Organized Health Care Education/Training Program | 440- N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-02-16 |
1124392600 | Ricki Kelley | Counselor | 330 Ne 59th St., Oklahoma City, OK 73105 | 2012-03-01 |
1962770727 | Lakisha Murray | Counselor | 4400 N Lincoln, Oklahoma City, OK 73105 | 2011-12-08 |
1760700827 | Deborah Proctor | Counselor | 321 North East 28th, Suite #101, Oklahoma City, OK 73105 | 2010-05-13 |
1548588791 | Raganda Washington | Counselor | 321 N.e. 28th, Suite 101, Okc, OK 73105 | 2010-05-12 |
Find all providers in zip 73105 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801418991 | Brooke Elizabeth Young | Nurse Practitioner | 825 Ne 10th St Ste 2g, Oklahoma City, OK 73104-5417 | 2020-05-11 |
1790315729 | Robin Annette Dockins | Nurse Practitioner | 11404 Bluff Creek Dr, Oklahoma City, OK 73162-3725 | 2020-01-17 |
1194283424 | Nancy Ann Owens | Nurse Practitioner | 5101 Sw 120th Ct, Oklahoma City, OK 73173-8875 | 2019-03-05 |
1487125282 | Michael Scott Eskew | Nurse Practitioner | 14100 Parkway Commons Dr Ste 100, Oklahoma City, OK 73134-6036 | 2018-12-06 |
1477922441 | Nissy Philip | Nurse Practitioner | 3366 Nw Expwy, Suit 550, Oklahoma City, OK 73112-4462 | 2015-09-21 |
1750766911 | Asha Joseph | Nurse Practitioner | 711 Sl Young Blvd Ste 430, Oklahoma City, OK 73104-5022 | 2015-07-29 |
1467899724 | Sukcha Maudie | Nurse Practitioner | 215 Nw 16th St, Oklahoma City, OK 73103-3408 | 2013-05-28 |
1700989316 | Misty Dawn Dean | Nurse Practitioner | 3366 Nw Expressway Ste 400, Oklahoma City, OK 73112-4416 | 2006-09-07 |
1083630115 | Terry L Green | Nurse Practitioner | 940 N.e. 13th Street, Suite 3000, Oklahoma City, OK 73104-5099 | 2006-07-14 |
1639166499 | Shannon L Johnson | Nurse Practitioner | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2005-10-05 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73105 |
Please comment or provide details below to improve the information on SUSAN BIJI JACOB.
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.