MARTHA WALTON JACOBS (NPI# 1801938402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801938402 |
| Entity Type | Individual |
| Full Name | MARTHA WALTON JACOBS |
| Credential | M.A. |
| Practice Address |
1211 E Guadalupe Rd Gilbert AZ 85234-4889 |
| Mailing Address |
1220 E Northview Ave Phoenix AZ 85020-5124 |
| Practice Telephone | 4808922803 |
| Mailing Telephone | 6026319099 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
AZ | Behavioral Health & Social Service Providers |
| Street Address |
1211 E GUADALUPE RD |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-4889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881756690 | Brenda Lynn Strom | Registered Nurse | 1211 E Guadalupe Rd, Patterson Elementary, Gilbert, AZ 85234-4889 | 2006-12-15 |
| 1578127403 | Mariah Walkington | Registered Nurse | 1211 E Guadalupe Rd, Gilbert, AZ 85234-4889 | 2019-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508170879 | Vandana Singh | Psychologist | 1131 S. Pheasant Drive, Gilbert, AZ 85296 | 2010-07-29 |
| 1316250186 | Praphul Suhash Niduram Ambedkar | Psychologist | 1131 S Pheasant Dr, Gilbert, AZ 85296-3062 | 2010-07-21 |
| 1275855835 | Lauren Wolkove | Psychologist | 375 S Columbus Dr, Gilbert, AZ 85296-2101 | 2010-02-24 |
| 1730401456 | Tyler Hunt | Psychologist | 230 N Cole Ct, Gilbert, AZ 85234-4250 | 2010-02-22 |
| 1902037583 | Michael Buchsbaum | Psychologist | 65 E Olive Ave, Apartment 213, Gilbert, AZ 85234-4553 | 2009-07-30 |
| 1811127806 | Teresa Sharrow | Psychologist | 4632 E Germann Rd, Apt 2047, Gilbert, AZ 85297-8362 | 2009-07-23 |
| 1144351578 | Alex R Bowman | Psychologist | 1945 S Ashland Ranch Rd, Gilbert, AZ 85296-4993 | 2007-03-08 |
| 1790831931 | Melinda J. Wilson | Psychologist | 1000 E Mesquite St, Gilbert, AZ 85296-1814 | 2007-01-27 |
| 1851440499 | Christa Marie Horin | Psychologist | 505 W Houston Ave, Gilbert, AZ 85233-2072 | 2007-01-10 |
| 1639309628 | Katrina Dunning | Psychologist | 4632 E Germann Rd, Apt 2047, Gilbert, AZ 85297-8362 | 2009-07-23 |
| Find all providers in GILBERT | ||||
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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.